Women in the Wild Submission Form

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Street Address

City, State, Zip Code

Phone

Sex malefemale

Date of Birth

Country you reside in?

Are you a citizen of this country? YesNo

If not, what country?

Do you wish to include friends in your group for Women in the Wild?

For the friends you are nominating, are they willing to participate in outdoor events for Women in the Wild?

Tell us more about your experience in the outdoors:

What do you wish to learn during Women in the Wild?

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