Registration Form

Single choice

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First name

Last name

Date of birth

Month

Day

Year

Phone number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Emergency contact name

Emergency contact number

Ch8sing Waterfalls is Intentionally for Black and Brown Women Only, how do you identify?

Black / American American

Brown/Hispanic/Latina/Indigenous

Ch8sing Waterfalls is for ages 13+ (Teens 13-17 must be with their family member, and cannot attend unsupervised.) What is your age?

How many times have you hiked with us prior to this registration?

Any relevant major medical concerns that limits your ability to hike with us?

How did you discover Ch8sing Waterfalls?

If friend, family, or other, please tell us who they are. Thank you.

*What are some reasons you chose to embr8ce the ch8se? (Please select all that apply)

I needed some exercise.

I wanted to try something new.

Hiking is my thing. I do it all the time.

I needed some emotional healing.

I was invited by a friend and I said "why not"

Anything we should know?

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