Albuquerque East Stake Trek 2024

Albuquerque East Stake Trek 2024

Tuesday, June 18th-Saturday, June 22nd
Full name of participant

First NameLast Name
Parent/Guardian Email(if you are an adult, put your own email)
example@example.com
Parent/Guardian Phone number(if you are an adult, put an emergency contact)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Name(if you are an adult, put an emergency contact)

First NameLast Name
Date of Birth of participant

MonthDayYear
Date
Ward
Pioneer Treks require physical stamina. Participants should be prepared to walk 3 miles an hour and be capable of walking multiple miles a day while helping pull a handcart over rough terrain.

Please print the church's medical release form below, fill out, SIGN and email to Brother Mike Cutter, who is the Secretary in the Stake Young Men's Presidency and also our Stake Trek Medical Specialist: michael.cutter@msn.com.

Medical Release Form

Fill out the top portion with the following information:

Event Details: Youth Trek

Dates of Event: June 18th-June 22nd

Describe event and activities: Youth Pioneer Trek.

Stake: Albuquerque East Stake

Event or Activity Leader: Steve and Erin Schmutz

Event or Activity Leader's phone number: 505-379-9661

Event or Activity Leader's email: sdselectric@msn.com
Are you a youth or a leader?
*Ma's and Pa's should mark "Adult-Ward"
Should be Empty: