Upham Woods Group Application Form

Online Application to Reserve Dates

All interested groups are encouraged to submit applications as early as possible to check on, and reserve, the desired dates for your visit. If you have any questions, or have never brought a group to Upham Woods before, please call 608-254-5744 if you would like assistance with the reservation process.

Required Group Leader Forms

Food Service Agreement
Please complete and submit the Food Service Agreement 30 days prior to your visit.

Program Coordination Form
Please complete and submit the Program Coordination Form 30 days prior to your visit.

Upham Woods User Evaluation Form
Please complete the User Evaluation Form as soon as possible after your visit to Upham Woods.

Required Participant Forms

For your convenience, all required forms can be downloaded below in English or in Spanish.  All adult and youth participants are required to complete these forms. Please bring completed forms with you on the day of your visit.

Health Form

• Group provides custodial care to youth participants during length of stay at Upham.
• Group must collect health information and be able to provide it upon request by Upham staff or medical professionals in the event of a health emergency. 
• Group is responsible for maintaining the security and confidentiality of any health information in any format (their health form or Upham’s) that has individually identifiable information associated with it while on site. 

Here is a generic form that is available for use by groups: Generic Youth Event Health Form

UW System Agreement for Assumption of Risk Form

Groups must bring a signed UW System Agreement for Assumption of Risk for each person visiting Upham Woods. If a parent/participant refuses to sign this form they cannot participate in activities at Upham Woods. As an alternative to signing the form, a participant may choose to purchase additional insurance which provides the University of Wisconsin System the same liability coverage provided by this waiver. If you have questions, please contact Upham Woods Administration at 608-254-6461.
UW System Agreement for Assumption of Risk Form – (PDF Document, 1 page, 60 KB) 
Acuerdo de asunción de riesgo – Español – (PDF Document, 2 pages, 20 KB)

Photo Release Form

Groups must bring a completed Photo Release Form for each person visiting Upham Woods.
Upham Photo Release – (PDF Document, 1 page, 36 KB)
Autorización para el uso de imágenes – Español – (PDF Document, 1 page, 49 KB)

Required Outpost Forms

Please complete the following Outpost forms and submit no later than 30 days before your visit to Upham Woods.

Outpost Reservation Form (Contact Upham Woods for more information about scheduling Outpost Programming.)

Program Schedule Planning Sheet

Outpost Equipment Request Form

4-H Summer Outpost Menu Selection Form

Outpost Group Evaluation Form
Please complete and submit the Group Evaluation Form as soon as possible after your outpost adventure.

Optional Outpost Forms and Documents

Outpost Regulations – (PDF Document, 3 pages, 218 KB)

Outpost “To Bring” List – (PDF Document, 1 page, 166 KB)

Outpost Participant Expectations – (PDF Document, 1 page, 47 KB)

Other Requirements for Groups with Youth:

Youth groups must have an assigned “Dining Hall Supervisor”. The role and responsibility for this position is below:
Dining Hall Supervisor Instructions – (PDF Document, 1 page, 28 KB)

First Aid Coordinator  The requirements of a First Aid Coordinator are listed below, these have changed for 2024 in accordance with the updates to ATCP 78.

• • Primary First-Aid Coordinator: The primary First-Aid Coordinator shall meet at least one of the qualifications listed below. State law requires that each visiting group bring a “First-Aid Coordinator” who meets these requirements.
    • A physician licensed in Wisconsin pursuant to s. 033, Stats.
    • A registered nurse licensed in Wisconsin pursuant to s. 115 (3), Stats.
    • A physician assistant licensed in Wisconsin.
    • A practical nurse licensed in Wisconsin.
    • A National Athletic Trainers Association certified trainer.
    • An emergency medical services practitioner as defined in s. 01 (5), Stats.
    • A person currently certified as completing the American Red Cross responding to emergencies course.
    • A person currently certified as completing a wilderness first aid course as approved by DATCP.
  • Requirements for Additional First Aid Coordinators: All First Aid Coordinators (the primary First Aid Coordinator and any additional third-party Staff serving in this role) shall hold current certification from the American Red Cross or American Heart Association for basic CPR and AED or equivalent.
  • Administering Medications: First Aid Coordinators who are not licensed as physicians, registered nurses, physician assistants, or practical nurses in Wisconsin must take the Wisconsin Department of Public Instruction online course Medication Administration Principles each year. The third-party operates a residential third-party youth activity at Upham Woods and maintains documentation of the assessment test and passing grade.

Reporting Participation and Billing Form
Participation and Billing Form – (PDF Document, 1 page, 66 KB)