PWI Trip Application

Each Petra Wilderness International Trip provides intentional times in the backcountry. Please fill out the application form below in it's entirety and you will hear from the PWI Leaders on the status and acceptance of your application.

Be sure to check the correct trip(s) you are applying for. There are a limited number of spots on each trip, and upon acceptance, please pay the the initial deposit fee of $50 per trip by May 1st. There are some scholarships available for those who need assistance with the full trip cost. Trip cost includes backpacking meals, gear rental, and gas / travel costs.

Please note that Petra Wilderness International trips require participants to have their own broken in ankle high hiking boots and the ability to hike 5-7 miles per day carrying a backpacking pack. PWI does have backpacking equipment available for rental during the trips and will be made available in order of applications received.

Date of Application

Please Choose Which Trip(s) You Are Applying For:

Mystic Lake - July 8-11 (Middle & High School Students)

Glacier - August 5-9 (Young Adults)

Pinedale - August 25-28 (Young Adults)

Escalante - Sept 29 - Oct 2

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Gender

Male

Female

Date of Birth

Age

If under 18 years of age, please list name(s), phone number(s) and email(s) of parent(s) / guardian(s).

Height & Weight (Used to help determine proper backpacking equipment size).

T-Shirt Size

Why are you interested in going on a PWI Trip?

Do you have any previous hiking and / or backpacking experience? If yes, please describe.

Do you have any of the following gear?:

Backpacking Pack (65L +)

Backpacking Tent

Backpacking Sleeping Bag (15 degrees or warmer)

Backpacking Sleeping Pad

Backpacking Stove

None of the Above

What are your strengths and weaknesses?

Please list at least one reference, including the person's name, relationship to you, phone number and email address.

Do you have any allergies, pertinent medical information, or dietary restrictions we need to be aware of?

Emergency Contact Information (Name, Relationship to Applicant, Phone Number.)

I understand I need to be in proper physical shape, including being able to carry a pack and hike 5-7 miles per day.

Yes

No

I attest that I will fully submit to the Petra leadership for reasons of safety, protection, physical and spiritual health for the duration of the trip.

Yes

No

Trip Applicant: Please type your name below to certify you have answered all questions truthfully and to the best of your ability.

By submitting this form, I understand I am officially applying to go on a PWI trip and will be hearing from PWI leaders based on status of my application.

Yes

No