Wild West Fury Road Trip Application Name* First Last Home Phone Number*Cell Phone NumberPhone Number of Parent (emergency use only)*Student Email Address* Parent Email Address* How will you contribute to the spirit of camaraderie in the group during the trip, even in the midst of difficulties?*Are you prepared to spend several nights during the trip camping out in tents?*Are you prepared to leave your phone at home for the entirety of the trip?*Your parents will be able to contact the program staff if they need to get in touch with you.CommentsPlease include any medical or dietary needs as well as any preferences / recommendations regarding our list of potential stops on the trip.
