Excursion Application

Be sure to completely fill out application and then click on 'submit'.

Where & Why
Select excursion: *
Colorado: West Elk Wilderness Area (Summer)

California: Joshua Tree National Park (Winter)

Select the excursion that you are applying for.

Why: *
Briefly explain why you want to go on a WilderneSS excursion.

Basic information
Name: *
Your full name

Street Address: *
Home mailing address

City: *

State / Province: *

Postal / Zip Code: *

Phone Numbers: *
Your Phone Numbers - designate (H)(C)(W)

Email Address: *
Your Email Address

Church: *
Church you attend

Leadership Position: *
List current and past leadership positions (if any)

Birthdate*
birthdate

Reference
Reference Name: *
Pastor or Other Church Leader that Knows You Best

Phone Numbers: *
Reference Phone Numbers - include as many as possible - designate (H)(C)(W)

Email Address: *
Reference Email Address

Experience
Fasting & Solitude: *
How much experience do you have with fasting and solitude? (not a prerequisite for acceptance)

Backpacking: *
How much experience do you have backpacking? (not a prerequisite for acceptance)

Acknowledgements
Equipment & Food: *
WilderneSS requires that participants abide by all the guidelines as to the amount and type of equipment, clothing, and food that is allowed on the excursions. Do you have any objections to this? Type yes or no in the box.

Payment: *
Due to the financial commitments WilderneSS must make in advance of the excursion all WilderneSS payments are non-refundable 60 days prior to the excursion. All payments must be made on schedule in order to secure your reservation. 50% of WilderneSS fee is due upon registration with remaining balance due 60 days prior to excursion. Do you have any objections to any of this? Type yes or no in box.

excursion information

Excursion Application

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