Teen Backpack Hike Application (Teen Hiker)

Teen Backpack Application (Teen Hiker)

To be filled in by the teen applicant on their own.
Your Name*

First NameLast Name
Preferred Name
Pronouns
Optional
Gender
Teen's Phone Number

Area CodePhone Number
Teen's Email
example@example.com
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number
Format: (000) 000-0000.
We want to know a little bit about you in your own words. There are no right or wrong answers. Please be as honest as you can. This information is confidential and will not be shared with your parents or outside of Wild Grief unless there is an indication of abuse or harm to yourself or to others. We will be sharing it with the guides on your trip.
Who died, what were the circumstances, and how long ago? *
What have been some challenges after the death?*
What have you been doing to cope?*
How is your resilience or your ability to recover when things get hard?*
Describe anything physical you do (sports, walking, cycling, hiking, etc.) and how often you do it.*
How would you summarize how often you move more than walking to a car?*

A lot- I am active every day.Some- I walk more than a mile or exercise 3 or more times a week.A bit- I walk a mile or exercise 1-2 times a week.Rarely- Honestly, I mostly sit.
Our trips vary in difficulty level depending on the location. To help us plan our trips, please select which kind of hike would you prefer?

An easier hike with a few hills.A more challenging hike including one day mostly going uphill on a trail.Either would be fine.
What makes you want to join this trip? What excites you about the outdoors and backpacking?*

How excited are you about this trip? (5= I am definitely interested, and somewhat anxious too.)*

	1	2	3	4	5	6	7	8	9	10

1 is This sounds like a bad time, I don't really want to go., 10 is I'm very excited, I really want to go!

What are some of your expectations about this trip?*
What concerns or worries do you have about this trip?*
Is there anything else you want to tell us about yourself?
Hiker Signature*
A reminder: You must have your Parent/Guardian submit the Parent/Guardian application before we can review your application.

Thanks for wanting to join us on the trail.
Should be Empty:

Teen Backpack Application (Teen Hiker)