Discovery Experience Application

Name * First Last

Email *

City, State

Which GirlTrek Getaway are you applying for? Check All That Apply *

Harriet Tubman Health Summit and Trek Leader Training in Upstate New York Wellness Retreat in Sedona, Arizona Sea Island Fit Tour near Savannah, Georgia National Outdoor Leadership School (NOLS), Various Locations

GirlTrek Service: How did you hear about GirlTrek? Have you been involved in programs or campaigns in the past? If so, describe your participation.

Question 1: Who inspires you to live your best life? Do you have a healthy role model?

Question 2: What is the greatest impact you've had on another person in the last 5 years?

Question 3: What is the most rigorous physical activity you've done in the past 6 months?

Some excursions will require a baseline level of fitness and we want to match you with the best experience possible. Please honestly answer the following questions. How would you describe your cardiovascular fitness?

Very fit. I know I can run or speedwalk 5 miles easily. Getting there. I know I can run or speedwalk 5 miles with some effort. Not there yet. I don't think I can run or speedwalk 5 miles.

Some excursions include water sports. How comfortable are you in the water?

Very comfortable, I'm a strong swimmer. Comfortable, I can swim. Safe, I can tread water. Nervous, I need a safety vest. Afraid, I don't go near water.

Some excursions include bicycling. Describe your ability to ride a bike:

I'm very good. I ride regularly. I'm pretty good. I know how to ride. I might wabble. It's been a long while. I don't know how to ride.

How did you hear about GirlTrek?

If a friend told you about GirlTrek, let us know! She will get 10% off her next getaway! First Last

We offer 10% discounts to teachers in urban or rural districts with 70% or more of students with fee or reduced lunch. If you qualify, enter the name of your school.

HEALTHY ROLE MODEL DISCOUNT: Did you set and complete a 3-month health goal with GirlTrek to serve as healthy role model? If yes, you will receive a 10% discount on your next getaway.

Yes. I set and completed a goal. No. Not yet.

[Optional] SHARE A PROFILE PHOTO: After admitted to GirlTrek Getaways, profile pictures are used to announce expedition teams in newsletters.

NOLS Applicants only. Which excursion are you interested in joining? Please include the location and date. (Note: Scholarships are available for thse who qualify.)

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