REGISTRATION

Let’s start planning your trip!

(Provide at least a brief response to each question.)

Name *

E-Mail *

Where would you like to go backpacking? This could be a specific destination or a general land description (alpine, high desert, lakes, streams). *

When would you like to go backpacking? *

What backpack trips have you taken? *

What is the longest amount of time you have camped out? *

Describe your high altitude experience with backpacking, hiking, and camping: *

Describe you regular physical activities and exercise program: *

Describe your general physical condition: *

Do you have any dietary restrictions? *

Do you have any specialized areas of knowledge related to the outdoors or natural resources? *

Why are you interested in this backpack trip? *

Describe your equipment. *

I accept and Acknowledge Event Participant Responsibility, Express Assumption of Risk, and Release of Liability *

Please print this form, complete signatures and information, and return by email or regular mail.