Wimmins' Backcountry Paddling Trip Registration

Name

Email

Phone

What had you choose to come on this trip?

What is your hope or intention for this trip? (You'll be surprised at how potent this simple act can be in shaping your experience)

All are invited to bring an 'offering', something you love to share with the team we will form - singing, yoga, an art exercise, a topic of conversation ... you choose. No pressure. and not required. Is there anything you can think of now that you'd like to bring?

Are you willing to share a tent? (does not pertain to the solo element of the trip)

Please list any dietary restrictions &/or preferences here

Please share any mental and/or physical health issues, medical concerns &/or allergies that could impact your or others' experience on the trip. This will be held confidential unless you agree to or choose to share it with others beyond Shelley

Emergency Contact Info - Name, contact phone number & and relationship to you