Step 1 of 4 25% Welcome to recommitment! Please make sure you complete the form and return all materials in time to arrive at CureSearch as soon as possible, but no later than Wednesday, October 5th, 2022, to ensure we have time to make arrangements for you. If you have any questions, please email us at christa.vanstrien@curesearch.org. Please only fill out this form if you plan on recommitting to Ultimate Hike. If you are not, please contact christa.vanstrien@curesearch.org as soon as possible.Are you a Hiker or Volunteer/Coach?* Hiker Volunteer/Coach Your Name* First Last Your Email* Your Cell Phone Number*Emergency ContactsPlease help us keep you safe hike weekend. Each participant is asked to provide contact info for two non-hiking emergency contacts. Please share their info here:Emergency Contact #1Name* First Last Relationship To You* Cell Phone Number*Email* Emergency Contact #2Name* First Last Relationship To You* Cell Phone Number*Email* Your fundraising minimum is $2,500 as an individual, minus any fundraising credits you have earned by recruiting additional hikers. For purposes of recommitment, please use the amount of money you have raised on your fundraising website - we cannot count funds that have not been turned in or matching gifts that have not yet been received towards recommitment. If you are on a team and have not reached your goal, but the total dollar amount raised by your team (according to the website) equals more than $2,500 times the number of team members, then you have met your minimum.Based on the information above, have you completed your goal based on either individual or team funds?* Yes - please proceed to the next step. No - Please print out this form and return it to us via email or fax no later than Wednesday, October 5, 2022. We cannot save your place on the team without this form. Email: donorservices@curesearch.orgFax: (301) 718-0047 Next, please tell us about your pace and your goals for hike day.Please select what describes you best.* I am a very fast hiker and want to finish as quickly as I can I hike faster than most, but am not in a hurry My pace is average I like to take my time and enjoy the scenery What is your average pace per mile? This information helps us know when to have you start on Hike Day.* Is your goal to complete the entire 23.6 miles?* Yes, absolutely Yes, but I will consider skipping sections depending on how I am feeling on the big day No, I do not plan on completing 23.6 miles and would like you to contact me about shorter options. Are there friends from your team or from training who you hope to hike with on the big day? If so, please list here: Are you fully vaccinated? * Yes No Prefer Not To Say People are considered fully vaccinated: 2 weeks after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson's Janssen vaccine.Have you have received a booster of the COVID-19 vaccine?* Yes No Prefer Not To Say Are you participating in memory of someone who had childhood cancer? If so, what is the child's name? Are you participating in honor of someone who has or had childhood cancer? If so, what is the child's name? Please send a picture of the child/children you are hiking in honor or memory of to christa.vanstrien@curesearch.org by October 12, 2022.What size wicking T-shirt would you like?* Small Unisex Medium Unisex Large Unisex XL Unisex 2XL Unisex 3XL Unisex Small Ladies’ Cut Medium Ladies’ Cut Large Ladies’ Cut XL Ladies’ Cut 2XL Ladies’ Cut Note: Ladies’ shirts run VERY small. Ultimate hike provides free rooms to participants based on double occupancy (two participants per room). If you would like your own room, or if you would like to share your room with non-hiking loved ones, you have the option to buy out your room and not share with another participant. You also have the option to arrive early or stay late. Let’s start with your room. Do you want to pay for your own room for $140 total?* Yes - please charge my credit card $140 No - please pair me with another participant at no cost If you wish to request a specific roommate, please list his or her name here. Otherwise, Ultimate Hike staff will assign you a roommate of the same gender.Do you wish to arrive early and spend the night on Thursday, November 11, 2022 for an extra $140?* Yes, I will arrive a night early for an extra $140 No, I will not arrive a night early Do you wish to stay late and spend the night on Sunday, November 13, 2022 for an extra $140* Yes, I will stay late and spend Sunday night for $140 No, I will be leaving by checkout time on Sunday How many beds do you prefer for your room?* No preference One bed Two beds Do you have any special requests for your room? We cannot guarantee special requests, but we will try our best. Do you have any dietary needs or food allergies? Please describe.We will provide turkey sandwiches on the trail on hike day. Please check everything that you want on your sandwich:* Turkey American Cheese Mayo Mustard I need gluten free bread for my sandwich I will not need a sandwich Ultimate Hike provides each participant with a Friday night pasta party, Saturday night victory reception, and Sunday morning awards breakfast. If space allows, your guests are welcome to join us for all meals, but meals must be purchased in advance. If you are not planning to bring guests to meals, please skip this section.Friday night pasta partyHow many guests will you bring to the Friday night pasta party ($22 per guest)?Please enter a number greater than or equal to 0.Saturday night victory receptionHow many guests will you bring to the Saturday night victory reception ($16 per guest)?Please enter a number greater than or equal to 0.Sunday awards breakfastHow many guests will you bring to the Sunday awards breakfast ($20 per guest)?Please enter a number greater than or equal to 0.If your guests have any special dietary needs, please contact christa.vanstrien@curesearch.org once you’ve completed this form.Volunteers have asked about helping to pay for their expenses so more funds can be put towards research. Based on that feedback, we’re providing that opportunity. If you would like to pay for a portion of the costs associated with your expenses, you can do that here. Please list the amount, if any, that you would like to contribute. These funds will go directly towards your hotel/meal expenses and are not tax deductible. Total Amount Due $0.00 Covid-19 Policy I agree to the Covid-19 policy.Our first priority is participant safety. We are taking a variety of new precautions this year in light of COVID-19. As part of this year’s check-in process, all participants will be required to sign an additional document. This document will include a COVID-19 waiver, an acknowledgement that the participant (and any guests) agree to follow all COVID-19 related precautions hike weekend, and some health related questions specifically pertaining to COVID-19. Please check this box to indicate that you understand these new procedures and will review the document carefully at participant check-in. If you have any questions, please contact Christa at christa.vanstrien@curesearch.org. Before submitting this form, please note that if you have funds due in the field above, you will be directed to another page where you will need to enter this amount, along with your credit card information, to be charged for extras listed above (you own room, extra guest meals, etc). Please remember to submit this form in addition to your payment form!CommentsThis field is for validation purposes and should be left unchanged. Δ
