Hike Registration Form

I will email you a link to pay $295 once I receive this registration form.

Please note that all registrations are due by July 15, 2018

Name

First Name

Last Name

Email Address

Phone #

Hike Name & Date

Do you need support with gear?

Any special dietary needs?

What is your level of experience hiking?

Do you have any questions, or special needs, concerns, or challenges that I should be aware of to help you plan for the trip?

What personal, health, and/or wellness issues are you working on?

Where did you hear about this hiking retreat?