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| Full name |
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| Date of Birth (mm/dd/yy) |
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| Address, Postal Code, City |
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| Phone |
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| Cell Phone Number |
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| Email |
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How often do you participate in outdoor activities?
Less than once a month Once a month Twice a month
Once a week More than once a week
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What time of the year are you interested in participating in an adventure or day trip?
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Fall Winter Spring Summer |
How many days would you like an outdoor club adventure to be? Or do you prefer day trips only?
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Do you prefer weekdays, weekends, or both?
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Weekdays Weekends Both |
How many people would you like to go with?
5 or less 6 to 10 11 to 15 16 to 20 more than 20 |
Which age group would you like to participate with?
19 to 30 30 to 40 40 to 50 50 to 60 60 and up
Doesn't matter |
What type of accommodation might you be interested in?
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Hotel Lodge Cabin Bed & Breakfast Camping / Tent
Other: |
What type of activities and adventures have you done in the past?
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Which activities might you be interested in including on your adventure(s) with the outdoor club? |
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Are
you interested in an all-inclusive tailored package that includes all
expense such as: transportation, guide, accommodation, some meals, and
activities?
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Yes No Maybe |
What
are your goals in becoming an Outdoor Club Member? What would you like
to achieve while attending Outdoor Club activities and adventures? |
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Do you have any injuries / allergies we should know about?
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Where did you hear about us?
Comments
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