Alternative Spring Break 2010: Pacific Crest Trail

General Information

Name: *

Email: *

Campus mailing address: *

City: *

State: *

ZIP: *

Phone number: *

Gender: *

Major (s): *

GT ID: *

Age: *

Expected Graduation Year: *

T-shirt size: *

Emergency contact name: *

Emergency contact relation: *

Emergency contact number: *

Do you have any current medical conditions?: *

Do you have any allergies (including food and/or medications)?: *

Are you on any medications?: *

If you answered yes to any of the above three questions, please explain.:

Would you be willing to drive? (Drivers will be reimbursed in full for fuel costs): *

Yes

If yes, how many people?:

Are you interested in helping lead this trip? (All Trailblazers trip leaders must have participated on a past project): *

If yes, which trip leader responsibilities would you be most interested in? (use ctrl to select multiple options) :

Short Answer Questions

Describe any volunteer or teamwork experience you have that will help you be prepared for this trip.:

Why would you like to participate in this project? What do you hope to gain from it?:

Describe any camping and/or hiking experience you have that will help you be prepared for this trip. :