Full Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

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Medical Insurance Company Phone *

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Emergency Contact *

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Are you signing up with anyone else? *

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Unsure

Please check which of the "big three" gear items you have: *

Sleeping bag and pad

Backpack

Tent

None! I plan to rent/buy/borrow.

Mileage: the trip duration is 7 days. What best describes the pace you’re looking for? *

I’d prefer more distance and a higher challenge rating in order to experience more of the trail. A hike each day and a new campsite every night sounds good to me.

I’d like to cover slightly less distance, with more time for relaxing and exploring, but still hike each day and camp in a new spot each night.

I’d like to cover less distance and maintain a more relaxed pace in order to spend more quality time in each spot. A zero milage day built into the schedule sounds nice so I can rest or explore the area from a base camp.

I am paying via: *

If you would like to set up a payment plan to pay in installments, let us know! - Full payment $2,100 - Register with a friend for 10% off - Financial assistance application: https://www.chloerowse.com/financial-assistance-application

Check

Paypal (2.9% processing fee): https://www.paypal.com/invoice/p/#KDB5B5F6MFQ9GVE2

Register with a Friend Paypal (2.9% processing fee): https://www.paypal.com/invoice/p/#WHSR5QE65J6GSPQV

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