North Georgia Outdoor Pursuits Health History Form & Waiver

Should you have any questions or concerns, email us at northgeorgiaoutdoorpursuits@gmail.com or call us at (706) 864-2549.

1General Information > 2Health History Form > 3Waiver > 4Review Your Entry
Date Date / MM / DD YYYY
Name Name * First Last
Group Name *
Relation to UNG *

Relation to UNG Student Employee and/or Alumni Non-Affiliate
Home Campus
(Students and Employees Only)

Home Campus
(Students and Employees Only) Blue Ridge Cumming Dahlonega Gainesville Oconee
UNG ID
(Students and Employees Only)
Phone Phone - ### - ### ####
Email *
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.