Event Details & Registration | John & Junes Mission

*First Name

*Last Name

*Email

*Phone Number

What size t-shirt are you?

Small

Medium

Large

X-Large

*Any dietary restrictions or food allergies that we should know about?

Transportation will be provided by Hike 2 Heal. Are you planning on riding in the van or would you prefer to caravan?

Yes- I will be riding in the van with Hike 2 Heal

No- I will be driving my own vehicle and following in the caravan

If you are an active caregiver, respite services are available. Respite services can include overnight stay or in-home care for a loved one. Are you interested in receiving respite care vouchers?

Yes- please send additional information

No

Not Applicable

Tell us who you are!

I'm a caregiver and the cost of the trip is free!

I'm a family member or friend joining the caregiver. I understand the cost of the trip will be $125

I'm a cancer survivor and the cost of the trip is free!

*Upon registration, a deposit of $25.00 is due to hold your spot on the backpacking trip. Please mark each box.

I understand my spot will not be held until the $25.00 deposit is paid.

I understand the $25.00 will be refunded after I attend the trip.

I understand the $25.00 deposit is non-refundable if I do not attend the trip

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John & Junes Mission, Inc.

Because of our Partners & Sponsors, We are Reaching More Caregivers