OVER
Please complete this questionnaire and return it to your trip leader within 30 days.
Be as detailed and candid as possible with your answers. Each participant, regardless of age, must
fill out a separate form.
Use another sheet of paper if additional space is needed.
Name:
Address:
City: State: Zip:
Home: ( ) Work: ( )
E-mail address: Date of Birth:
Have you been on a Sierra Club National Outings trip before? Yes No If yes, please list the most
recent trip(s) including trip types, dates, trip names, locations, and leaders.
What personal trips with related experience have you taken? Include dates, locations, and distances.
What is the longest amount of time you have camped out?
Describe your high altitude experience:
Detail your regular physical activities and exercise program. What physical conditioning will you do to prepare
yourself for this trip?
Describe your general physical condition:
Backpack
Participant Approval
Form
