Apply now to reserve you spot. Given all that is required with these trips, a screening process is used to determine eligibility. Please fill out the below to begin that process.

Application

It is not required that you fill out this application, we can discuss the questions herein via telephone if you prefer.

Name

First Name

Last Name

Phone Number

Trip Date you are interested in:

Please tell me what kind of physical shape you are in. These trips are very strenuous and while we can take it slow, it is important to give an honest assessment:

Tell me a little about your history, struggles, and what you've done to overcome that:

Tell me what you'd like to get out of this program:

Tell me anything more about yourself you think I should know:

How did you hear about us?

More than one item can be selected

Facebook Page

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Instagram Page

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Search engine (i.e. Google)

Word of Mouth

Other