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Wilderness Intensive Application
Please complete this form to begin the application process for your Intensive.
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* Indicates required question
FIRST NAME + LAST NAME
*
Your answer
EMAIL
*
Your answer
PHONE NUMBER
*
Your answer
ADDRESS
*
Your answer
CITY
*
Your answer
STATE
*
Your answer
ZIP CODE
*
Your answer
BIRTHDAY
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MM
/
DD
/
YYYY
GENDER
*
MALE
FEMALE
WHICH INTENSIVES ARE YOU APPLYING FOR?
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APPREHENDED WEEKEND: JUNE 30-JULY 2
OPEN ENROLLMENT INTENSIVE: JULY 4-10
MARRIAGE INTENSIVE: JULY 12-16
OPEN ENROLLMENT INTENSIVE: JULY 19-25
FREEDOM FIGHTER INTENSIVE: JULY 31-AUGUST 6
APPREHENDED WEEKEND: AUGUST 11-13
MEN'S INTENSIVE: AUGUST 15-21
CUSTOM COURSE
Required
HOW DID YOU HEAR ABOUT THIS COURSE?
*
Your answer
WHAT DO YOU HOPE TO GAIN FROM THIS EXPERIENCE?
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Your answer
WHAT IS YOUR OCCUPATION?
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Your answer
WILDERNESS EXPERIENCE?
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NEVER BEEN CAMPING
CAR CAMPING
TENT CAMPING
BACKPACKING
BACKPACKING MORE THAN 3 DAYS
ANY OTHER INFORMATION WE NEED TO KNOW OR YOU'D LIKE TO SHARE?
Your answer
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