2025 Eleven Mile Canyon Men's Retreat Registration
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First and Last Name *
Email Address *
Phone Number *
Name and phone for an emergency contact *
Sober Date *
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Available for a service position? *
Do you need to borrow any gear? *
What additional gear can you bring to loan out? *
Dietary restrictions? *
Do you need a ride? *
Are you able to carpool other guys? *
If yes, how many open seats? *
I understand that I will have to pay $30 *cash* ($10 per day) per vehicle, to the Ranger Station upon arrival
 *
Required
I have sent the registration fee of $75 via Venmo to @aaron-botwick *
Do you have a vehicle that can tow a small trailer? *
What size shirt do you wear? *
Acknowledgment that any remaining funds may be retained for future use by Eleven Mile Canyon Men’s Retreat, moved into prudent reserves and/or dispersed to Denver Central Office and General Service Office. Prudent reserves is used for various supplies and scholarships for people that cannot afford to participate without assistance. 

Acknowledgment that each person that completes this form without providing payment will not have a reserved space on the roster. Full payment is required to reserve a spot (excluding any scholarship agreements made prior to submitting this form)

If you acknowledge, select “yes”.
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