Join us!

You're about to take a positive step for your health and well being. In order to reserve your spot, please answer all the information requested below. Basically, let us know your contact information, why you're interested in our trip and what you hope to get out of it.

Please take a moment to examine the release form. Clicking on 'Sign Me Up', means you are aware of the risks of backpacking and agree to the terms contained in the release. We hope you'll enjoy your Fitpacking trip.

Which Trip?

First Name

Last Name

Address

Address

City

State Zip

Date of Birth

Gender

Height
Feet Inches

Weight  

E-mail  

Alternate E-mail

Phone Number

Cell Number

Emergency Contact Last Name

Emergency Contact First Name

Emergency Phone Number

Insurance Provider

Insurance Account Number

How did you hear about Fitpacking?

Gift Certificate / Promotional Code (Lucky you!)

If you used a search engine, what keywords did you use?

What are your health goals?

Describe any backcountry experience you have.

What makes you good company for 1 or 2 weeks?

Describe any medical issues you have in detail.

Please list any dietary restrictions here.