application

Colorado Mountain Club

Wilderness Trekking School - Student Application Form

Member Number___________ Session: Fall Year 2008

First Name ____________________ Last Name______________________

Email __________________________ Phone ________________________

1. Select your day for all 5 field days: [ ]Saturday [ ]Sunday [ ]Thursday [ ]Either Sat or Sun is OK for me.

2. In order to help us assign students to compatible field groups of similar fitness, please choose (circle) your REAL hiking conditioning level below. Choose carefully, grasshopper!

1 - I consider myself a strong hiker, and can pretty well hike all day anywhere. I hike all the time. When I hike I carry a heavy 25+ pound day pack, climb more than 1000’ in an hour at pace faster than 2 miles/hour.

2 - I am probably a stronger hiker than average. I hike at least weekly. I’m dedicated to my workout schedule. I can climb 1000’ in an hour or hike for 2 miles in an hour without a break. I carry a 20+ lb day pack.

3 - I hike in the mountains routinely. I do aerobic exercise several times a week. With a break now and then, I climb 1000’ in an hour, or hike at 2 mph on an level trail. I carry a 20 lb daypack.

4 - I might be a bit slower than some others. I hike in the mountains at least monthly. I walk/exercise a couple times a week. With breaks, I climb 500’ in an hour, or hike about 1 mph with a small 10 lb day pack.

5 - I enjoy getting out, but I don’t hike very often. I don’t work out very much. I enjoy a relaxing stroll, and like to frequently stop and smell the roses.

3. List up to two friends to be grouped with (optional): _____________________, _____________________

4. Gender M [ ] F [ ]

5. Important and Required: How did you hear about WTS? _______________________________________

6. Age: ______________

7. Describe your exercise routine (required) and any hiking-related formal training: ____________________________________________________________________________________

8. Do you have any other hiking-related issues that we should know?_____________________________

REGISTRATION OPTIONS – Final registration is one week before start of class. Payment Amount $90 -Denver Group members, $100 - Other CMC group members. $10 additional fee for late sign-up.

Mail - Print out form, complete, and send with payment of check, money order, or credit card (fill out credit card info below) to CMC office, 710 10th Street #200, Golden CO 80401

In Person - Print out form, complete, and bring with payment of cash, check, money order, or credit card (fill out credit card info below) to CMC office, 710 10th Street #200, Golden

Fax - Print out form, complete, fax with credit card payment (fill out credit card info below) to 303-279-9690

Credit Card Type: VISA [ ] MASTERCARD [ ] AM EXPRESS [ ] DISCOVER [ ]

Card Number _____________________________ Expiration Date ________

Signature _________________________________________