2010 Snowcamping Training Series - Application

Please review the information sheet for requirements before completing this application. Answer all questions for each applicant. Please use a separate application for each participant. Make copies of application form, as needed, for each additional person. Attach all family or youth group applications together.

The following are the fees:

Trip Type	Sierra Club Member	Non-Member (Join)
Training (early-bird) (postmarked on or before November 22, 2009)	$100	$110
Training (normal) (received by December 15, 2009)	$115	$125
Per child (Family group only)	$20	$20
Per Youth (Youth group only)	$50	$50
Alumni (except where noted on certain trips)	$20 per trip	$25 per trip

A limited number of scholarships are available. For more information, please contact John (jsedlander_AT_gmail.com) or Jodi (jdi_bly_AT_yahoo.com).

Send the completed application(s) with a self-addressed, stamped envelope and check or money order (or use paypal, the instructions will be on the next page), payable to the Sierra Club Snowcamping Training Series and mail to: Snowcamping Training Series, c/o Anne Good, 1332 Portland Ave., Albany, CA 94706. Applications must be received at the latest by December 15, 2009 . For the "Early Bird" enrollment, please make sure your application with check is postmarked on or before November 22, 2009.

Check One:	Student Family/Youth Alumni
First Name
Last Name
Address
City
Zip
Age
Height
Weight
Home Phone:
Work Phone:
Cell Phone:
Email:
How did you hear about us?
Are you a Sierra Club Member?:	Yes No (Join now to save on Snowcamping fees)
Sierra Club Member#:	(Enter "new" if you just joined)
Year completed the course:	(Alumni only)
Who led the group:	(Alumni only)
Would you be willing to drive?	Yes No
Number of passengers you can take?
Emergency Contact Name:
Emergency Contact Number:

GROUP DATES

Please indicate which group you would like to participate in by placing a "1" by your first choice and a "2" by your second choice, etc. Every effort will be made to place you in your desired group. Remember: to participate in the first trip, you must attend the orientation day on Saturday - January 9, 2010 and to go on the second trip, you must complete the first trip. Due to weather conditions, some trips may be cancelled and rescheduled to the backup trip date. Please make your selections carefully. You must select a first and second choice. If you do not submit a second choice, you may be placed in another group.

Family Group Adults must attend the Orientation Day on January 9, 2010 , to be eligible for family trips. Orientation is for adults only (18 and over) Mandatory pack check for children's gear. Allow one hour. (to be scheduled)

Alumni snowcampers must attend Orientation Day on January 9, 2010.

Group	Leaders	1st Trip	2nd Trip	Backup Trip
Group 1	Lorrie Poch Tony and Carol Somkin Greg Andreas	January 30 - 31, 2010	February 20 - 22 2010	February 27 - March 1, 2010
Group 2	John Sedlander Ed Traverso Maria D'Agostino	February 6 - 7, 2010	February 26 - 28, 2010	March 5 - 7, 2010
Group 3	Chuck Collingwood Albert Pastine	January 23 - 24, 2010	February 6 - 8, 2010	February 20 - 22, 2010
Group 4	Kalle Hoffman Lisa and Eric Ehlers	January 30 - 31, 2010	February 13 - 15, 2010	February 20 - 22, 2010
Group 5	Shonna Moodie Emilie Cortes	February 6 - 7, 2010	February 20 - 22, 2010	March 5 - 7, 2010
Family	Rodger Faulkner Harvey Ceasar	January 23 - 24, 2010	February 13 - 15, 2010	March 6 - 7, 2010
Youth	TBA	TBA	TBA	TBA

Status	Leaders	Trip Name	Date
yes	Marilyn Smulyan and Kyle Brunelle	A1 - Follow the Snow	January 16 - 17, 2010
yes	Greg Andreas and Jodi Bailey	A2 - Pull it with a Pulk	February 28 - March 1, 2010
yes	Dennis England and Roger Williams	A3 - Hot Springs Holiday	March 6 - 8, 2010
yes	Lloyd Sawchuck and Ted Pekny	A4 - Crocker Point 1	March 20 - 21, 2010
yes	Debbie Alexander and Albert Pastine	A5 - Digging and Gambling	March 20 - 22, 2010
yes	Mark Johnson and Kevin Choe	A6 - Igloo 101	March 26 - 28, 2010
yes	Cynthia Knowles and Hadrian Klinkner	A7 - Winter Photographer's Paradise	April 2 - 4, 2010
yes	Kalle Hoffman	A8 - Crocker Point 2	April 10 - 11, 2010

Are you taking the course with a friend(s) and wish to be in the same group? If yes, give us their names. Students wanting to be in the same group must submit their applications together. Being in the same group cannot be guaranteed.

MEDICAL INFORMATION

1.	Do you have any physical or medical conditions that we should be aware of?	Yes No
2.	Do you have any allergies?	Yes No
3.	Are you on a special/restricted diet?	Yes No
4.	Are you currently under any medical treatment?	Yes No
5.	Are you currently taking any medications? Please list below. (for safety purposes only)	Yes No
6.	Have you ever experienced any cold weather or altitude-related problems?	Yes No
If you answered yes to any of the questions, describe below.

STATEMENT OF PHYSICAL CONDITIONING

Please describe what you are doing for the physical conditioning activities to prepare for taking the Snowcamping Training Series. Feel free to mail in additional pages with your application if necessary.

OUTLINE OF EXPERIENCE

Please describe your backpacking experience, including all recent trips, dates, locations, length, and difficulty. If possible, refer to the grading system for knapsack and hiking sections in the front of the Chapter Schedule of Trips. List any mountaineering, snow camping, rock climbing, skiing, or leadership experience, too. Also include any special training such as first aid, rescue, or orienteering. Please include your reasons for wanting to participate in this series. Feel free to mail in additional pages with your application if necessary. For Family Group applications, rememeber to fill out a separate application for each child.

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