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John & Junes Mission, Inc.
Add Your Details
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First Name
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Last Name
*
Email
*
Phone Number
What size t-shirt are you?
Small
Medium
Large
X-Large
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Any dietary restrictions or food allergies that we should know about?
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Please indicate the gear you will need to borrow from Hike 2 Heal.
Backpack
Tent
Sleeping Bag
Sleeping Pad
Headlamp
None- I have my own equipment
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!
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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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SUBMIT
August 2022 Backpacking Trip
Aug 04, 4:00 PM MDT – Aug 07, 3:00 PM MDT
Registration Opens April 1st!