Encounter Nepal

Application

First name

Last name

Phone

Email

Address

Gender

Height

Weight

Write at least 3 sentences about why you are interested in this trip.

Write at least 3 sentences describing your relationship with God lately.

Describe your experience with hiking, climbing, backpacking, endurance sports, etc.

Describe your experience being at altitude over 12,000 ft. What were you doing? How did you do?

Describe your level of physical fitness. Are you active? Do you exercise regularly?

Please list ANY & ALL physical/medical conditions including but not limited to asthma, heart condition, migraine, seizure history, joint replacements, severe allergies, etc.? Basically, ANYTHING that could possibly come up that we should be aware of.