I Am Enough Application

Name *

Phone number *

Briefly explain your interest in this trip. What are you hoping to gain from the experience?

What is your physical activity like? Be specific. To participate in this trip, do you see yourself changing that to train? *

Do you have a medical diagnosis? *

Have you had any physical injuries in the last 5 years? *

Are you currently taking any medications? *

Do you have any questions about the experience?