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Last Name*

Account Email*

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This information is only seen by Wilderness Union staff and won't be shared without your consent.

Wilderness Union is deliberate about building a community of people at a similar life stage. Please confirm your date of birth to register for this adventure.

Your Date of Birth*

Your Phone Number*

Emergency Contact and Phone Number*

Do you have any health conditions or accessibility requirements?

How did you hear about Wilderness Union?

Waiver and Agreements

* I have read and accept the waiver* I have read and accept Wilderness Union's Code of Conduct, Terms and Conditions and Privacy Policy and agree to receive communications from Wilderness Union

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We'll review your answers and get back to you as soon as possible with next steps. You'll typically receive a decision within 48 hours.

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