Pico Duarte Registration
The Yspaniola Pico Duarte hiking fundraiser will take place Friday, April 21st through Thursday, April 27th. The hike dates will be Friday, April 21st through Thursday, April 27th. Participants should have a good fitness level and have hiked similar distances before, or plan to do some basic training in advance of the trip. For further information about the hike, go to http://yspaniola.org/pico-duarte-hike/ or email: sophia@yspaniola.org.

*Participants will pay a $200 registration fee, and will also be required to fundraise a minimum of $1,000.*

The $200 registration fee is payable on completion of this registration form. Participants are responsible for covering their own plane ticket.  Participants must register by March 1, 2023 at 5PM EST. We encourage participants to sign up as early as possible to help with our preparations!
Sign in to Google to save your progress. Learn more
Email *
Image: Copyright Dominican Abroad
Full Name *
Age *
Home address *
Phone number *
Please provide details of any dietary restrictions or allergies *
Please provide details of any medical conditions *
Any other special requirements?
Spanish abilities (Not a requirement for the hike) *
Have you been hiking before? *
Level of fitness *
I understand that by signing up for the Pico Duarte hike, I am agreeing to pay a non-refundable $200 registration fee. I pledge to fundraise a minimum of $1,000 (in addition to the $200 registration). If I do not meet my fundraising goal, I will donate the rest of the funds myself. *
Required
On the following page, you will be directed to pay your $200 registration fee. Please click submit below to complete this form.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Yspaniola. Report Abuse
Google Forms