Please select the program you are applying for

Participant [5 remaining]
Full Price: $2,500
Team Leader [Join Waitlist]
Full Price: $2,500
Captain-in-Training [Sold Out]
Full Price: $2,500

$400 deposit is required today.

Promo Code (Only for staff)

Add 3% to my payment to cover credit card fees. Reg Fox automatically calculates 3% of the full tuition owed (3% of $2500=$75).

Credit Card Fees

$0.00

Personal Information

*Note: NOCP is open to incoming high school seniors (starting in fall of this year) and up

Confirm Email Address

Hoodie size (men's size)

Please vote for your favorite hoodie color from the 5 options below!

Dusty Sage

Mustard

Eucalyptus Blue

Old Gold

Olive

Please list a reference (pastor, youth pastor, etc). Your reference person cannot be a family member.

Reference Cell Phone

Your relationship with this person

Have you attended NOCP before?

Please share why you are excited to attend NOCP.

What strengths are you excited to contribute to the program and the experience of its participants?

What are you hoping to gain from NOCP for yourself and also your local community?

Tell us a bit about yourself and what you’re up to in life these days?

My idea of a hike is… (Scale of 1-5)

We’re looking for participants interested in supporting music/tech for NOCP. Would you like to contribute your talents in any of the following ways?

Due to the length and nature of our program, our staff has found it helpful to be aware of any matching processes occurring between participants that might be attending NOCP. This information is confidential to the Program Directors and Coordinators. If you are in a matching process with someone who else is attending NOCP, please let us know and one of our staff will reach out and connect.

Are you in a matching process with someone who else is attending NOCP?

Yes
I am in a process with someone who is attending NOCP.
No
I will not be in a process with someone attending NOCP, however if that changes I will reach out to the Program Directors or Coordinators.

Please upload a headshot photo of yourself! (Please make sure it's not an HEIC file)

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If you sign up for the Sponsor Page mentioned below, we'll use this photo!

A new Reg Fox feature allows you to share a link with friends a family so they can make a payment contribution towards your program fee and remaining balance. (How cool is that!)

We also put together an NOCP Sponsor Page, a platform to empower you to share the vision and purpose of NOCP with potential sponsors! If you opt in, we'll post your first name, last initial, home state, and photo, along with your answer to the question below. A corresponding donation link (the same one you get in your registration confirmation) will allow sponsors you connect with to contribute directly towards your participation fee as opposed to donating to the program at large.

Would you like you be added to the sponsor page?

Medical Information / Parent Authorization / Legal Waiver

In case of an emergency:

Parent's Cell

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Alternate Contact's Name

Phone Number

Please note that this information will be held in confidence by the staff.

Do you have health insurance?

If you checked any conditions above, please explain

Do you have any medical or emotional conditions or concerns that the staff should be watchful for? (Please check if "yes")

Depression
Anorexia
Bulimia
Other, please explain below

If you checked any conditions above, please explain:

Do you have any allergic reactions to foods, medications, environmental of any kind? Please specifiy.

Do you have any dietary restrictions, sensitivities, or preferences? Please specify?

Please list any scheduled or as needed medications (over the counter or prescription) that you plan to take while attending NOCP.

For adult participants:

To my knowledge this medical history is correct. I acknowledge the inherent risks that exist with the outdoor and fishing activities planned during NOCP. Further I hereby release and forever discharge, and agree not to sue, and agree to indemnify and hold harmless, NOCP and its staff, directors, employees, and volunteers and each of them, from and against any and all liabilities and obligations of every kind and description, which I shall or may have against them or any one or more of them arising out of, or in connection with, my participation in NOCP activities, including, but not limited to, sickness or death caused by the COVID-19 virus or any other communicable disease, or for any personal injury or loss of personal property that I may suffer while participating in NOCP and activities, excepting in the case of gross negligence by NOCP.

Participant's Signature

To my knowledge this medical history is correct. In consideration of the activity staff and organization for the effort to provide me with a nurturing and enriching experience, I hereby agree to assume complete responsibility for any costs, medical or other, incurred by me while attending this workshop. I will not legally implicate the event staff or HSA-UWC.

I, the undersigned, agree to the terms above.

Required for participants age 21 and under

Parent's Signature

I, the undersigned, agree to the terms above.

Upon acceptance in the 2024 National Ocean Challenge Program workshop, I will pledge to observe the following conditions and requirements and I understand that, if I fail to do so, my conduct will be grounds for immediate and unconditional expulsion from the National Ocean Challenge Program in Kodiak, Alaska:

I will not indulge in smoking, drinking alcohol or in illegal drugs (including prescription).*

I will respect the property of others and that of the workshop center by not stealing or de-facing private or public property, nor will I conceal and support such actions of others.*

I will respect and support all workshop rules and will encourage others to do the same.*

I will fully participate in all programs, meetings and class sessions unless poor health or injury renders me from doing so.*

I will respect and support the staff and all participants of the National Ocean Challenge Program workshop. I will not engage in, nor will I support any activity that may endanger the physical, emotional or spiritual well being of others.*

I will not engage in promiscuous or flirtatious behavior with members of the opposite sex. I will dress appropriately with no alluring, suggestive, tight-fitting or revealing attire*

I will make every effort to conduct myself in a dignified, honorable and responsible manner befitting a Son or Daughter of God, an Owner of Cheon Il Guk and a Lord/Lady of Creation.*

I will support all safety rules by wearing a Coast Guard approved PFD(personal flotation device) at all times when on board boats while attending this National Ocean Challenge program.*

Participant's Signature

I have read and I accept the National Ocean Challenge Program Code of Conduct and, by my signature below, I pledge to abide by the code and I will encourage others to do the same.

I, the undersigned, agree to the terms above.

National Ocean Challenge Program 2024 Application Form

Program

Personal Information

Reference

A bit about you

Sponsorship Page

Medical Information / Parent Authorization / Legal Waiver

In case of an emergency:

Health Information

For adult participants:

Required for participants age 21 and under

Code of Conduct

Billing Information