Trail Crew Information Update

Online Trail Crew Registration ID

Information Update Form

	This registration ID is assigned by Trail Crew. If you have not received this ID by email please click here.
Registration ID Required
Name Required	(needed for ID confirm)
E-mail Required	(needed for ID confirm)

Please Enter Your Updated Information Below (Only enter information that has changed)
First Name
Last Name
Address
City
State
Zip Code
Day Phone	Example:559 222 1234
Night Phone
E-mail Address
Gender	Male Female
Race*	White Black US Indian Asian Hispanic Other
	*Ethnic information is required in order to qualify for government grants.
Age

Hiking and Backpacking Experience
Have you ever hiked before?	Yes No
If yes, your average hike is:
Can you do extended backpacking trips of 25 miles or more?	Yes No

Special Dietary Requirements
Do you have any food allergies?
Do you have any dietary restrictions?
Are you a Vegetarian? Please provide suggestions for alternative menu choices:

Medical Information
Emergency contact information; please submit 2 people:
Name#1

Address:

Phone:


Name#2

Address:

Phone:


Do you have any physical disabilities or prior injuries which may affect your participation in this activity? Enter "none" of none. Please explain:


Are you currently taking any medication for an illness, disability or other medical condition such as DIABETES or HIGH BLOOD PRESSURE? Enter "none" if none. Please list ALL medications: (This information is absolutely critical; different medications react differently at higher altitudes. CONSULT YOUR DOCTOR about the side effects of high altitudes!!)

Please list any known allergies to plants, insects or medications such as PENICILLIN.

When was your last tetanus shot?
Example: Jan 1998