Application Form 2011

Father's Name

Son's Name

Phone Number

Son’s age (as of June 19, 2011)

Have you been on this wilderness adventure before?
 Yes No
If so, how many times for Dad?

How many times for Son?

If so, last year attended Dad?

Last year attended Son?

Dad, please write out what you want to see in this experience, your expectations, goals and desires.
You may copy and paste from you're preferred word processor software.

Dad, what do need from the group leaders to make these things happen for you and your son?

Dad, what do you bring to the table that helps the group?

Son, please write out why you want to go on this adventure and what you expect.
You may copy and paste from you're preferred word processor software.

Son, what thing(s) would make this trip the best you could imagine?

Do you have passports good through June 19, 2011?
 Yes No
If no, explain.

Do either of you have any medical issues that would limit you from physical work including portaging (Carrying, dragging canoes/gear over rocky path.)?
 Yes No
If yes, explain.

Do either of you have any special dietary needs?
 Yes No
If yes, explain.

Dad, briefly describe your relationship with your son.

Son, briefly describe your relationship with your dad.

Is there anything else the board needs to know about you to help us in making our decisions on who will go on this adventure?

Do you have questions; call Jeff Turner at 303-680-9607 or e-mail jturner@auroragov.org
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