Dates of Program
Your Name
Email
Phone
Address (number, street, city, province/state, postal/zip code)
Date of birth
How did you learn about this program?
What has led you to participate in the Windwalker Dragonfly Quest?
What do you hope to gain from this experience
Briefly describe your experience in nature and with being outdoors.
How important to you is physical comfort?
Describe your regular physical activities.
Describe a time when you faced a significant physical challenge outdoors and how the situation was resolved.
Describe your spiritual path.
Do you have any questions or concerns about your participation in this program? Do you have any strong fears?
You will be challenged by this experience, just by its nature. Beyond that, in what ways do you wish to challenge or push yourself in body, heart, and spirit during your time of solitude?
Please add any additional information that you would like us to be aware of.
Your Quest begins now.
Details regarding payment and other important information will be forwarded to you upon registration.
Thank you.