Schoharie County Youth Program Registration

Online Registration
Canoeing River Hike
Email Address:
Guardian First Name:
Guardian Last Name:
Youth First Name:
Youth Last Name:
Date of Birth:
Mailing Address:
Mailing City, State Zip:
Home Number:
Cell Phone:
Work Number:
Emergency Phone Number:
Referral Agency: (if applicable)
Select Program:
Important Information:

Under Bridge WoodenBridge
Check the Trips Included in the Registration
Select the trips in the order of your youth's preference.
If you selected a trip and want to unselected it, click the check box again
to Deselect and remove it from the registration.

Selected Trips