2017 NW Coastal Pilgrimage Application
September 21-25, 2017 | Program and Scholarship Application

All non-students are required to pay a $10 application fee which will be invoiced through PayPal once this form is complete.

The reference form which accompanies this application must be completed by a mentor, teacher, advisor, or religious/spiritual leader by the application deadline. Link to form here: https://goo.gl/forms/n1D1stTvzDEV1Gk53

September 21-25, 2017

REGISTRATION INSTRUCTIONS: Please complete the information requested below. Once submitted, a Paypal invoice will be emailed to you within 5 business days to cover the application fee. If you prefer to pay by check, please send to:

Heartbeat
5431 NE 20th Ave
Portland, OR 97211

PLEASE READ THE FOLLOWING CAREFULLY:

-If you experience any changes to your health before the event, please inform the trip leader as soon as possible.
-Bring a water proof rain jacket and pants, as well as any gear needed to complete packing list below.
-Access to restrooms will be minimal while walking – at times trees, shrubs, and beach grass may be the only available coverage.
-While usually sunny this time of year, the possibility always exists for high winds and rain. Our group will be expected to walk rain or shine unless dangerous conditions are present.
-The route consists of approximately 60% beach walking, 30% state park trails, and up to 10% roadside walking on scenic Hwy 101.
-Some of the hiking will enter forested areas with an approximate 1000 ft climb which goes up and over Tillamook Head.
-A couple creek and stream crossings will be necessary.
-To maximize walking during low tides, some mornings may begin as early as 5:00am.
-Each participant will be required to sign Heartbeat's release and indemnification waiver.
-Each participant will be required to carry up to 3 lbs of group food and supplies in their backpack.
-Each participant must be able to walk up to 20 miles in a day and must train for a brisk walking pace beforehand with a loaded pack..
-Group times will be spent sitting in a circle, sometimes on the ground for up to one hour.
-provide medical insurance information

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