Pico Duarte Registration
The Yspaniola Pico Duarte hiking fundraiser will take place Saturday, July 27–Friday, August 2. Participants should have a good fitness level and have hiked similar distances before, or plan to do some basic training in advance of the trip. For further information about the hike, go to http://yspaniola.org/pico-duarte-hike/ or email: info@yspaniola.org.

*Participants will pay a $200 registration fee, and will also be required to fundraise a minimum of $1,000.*

The $200 registration fee is payable on completion of this registration form. Participants are responsible for covering their own plane ticket.

Image: Copyright Dominican Abroad
Full Name *
Your answer
Age *
Your answer
Home address *
Your answer
Phone number *
Your answer
Email address *
Your answer
Please provide details of any dietary restrictions or allergies *
Your answer
Please provide details of any medical conditions *
Your answer
Any other special requirements? *
Your answer
Spanish abilities (Not a requirement for the hike) *
Have you been hiking before? *
Level of fitness *
I understand that by signing up for the Pico Duarte hike, I am agreeing to pay a non-refundable $200 registration fee. I pledge to fundraise a minimum of $1,000 (in addition to the $200 registration). If I do not meet my fundraising goal, I will donate the rest of the funds myself. *
On the following page, you will be directed to pay your $200 registration fee. Please click submit below to complete this form.
Never submit passwords through Google Forms.
This form was created inside of Yspaniola. Report Abuse - Terms of Service