Registration

1 Choose payment

2 Contact information

3 Personal information

4 Acknowledgements

5 Pay

Now we'll get some contact information...
Your name*
First Last
Child's name*
First Last
Your email address*
Your phone number*
Your mailing address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your gender*
Child's gender*
What's your relationship to the child you're registering?*
What's your profession?*
Your age & date of birth*
(dd/mm/yy)
Child's age & date of birth*
(dd/mm/yy)
Your place of birth*
City, state or province, and country
Child's place of birth*
City, state or province, and country

Now we'll get some personal information...
What church do you attend?
(if you attend one)
How do you serve in the church?
(if you attend one)
How did you hear about ITW?
- Flyer
- Internet
- Live Presentation
- Friend
- Other
Who referred you to ITW?
If it was a friend, what is the name of the person who invited you.
Why do you or your child want to join us on an adventure?
In a few words, explain why you or your child would like to participate in the ITW (Into the Wilderness) program.
What's a name of a pastor, ministry leader, or friend that knows you well?
We would like to know this in order to know how you found out about the program and, in the case that you are a minor, we would like to know a little about your life from a third party so that we can serve you.
Email address of this person
Phone number of this person
Describe fasting and solitude experience*
How long have you spend in solitude? How many consecutive days have you fasted? (Not necessary to be accepted for the adventure).
Have you ever been trekking at high altitudes (over 2500 meters)?*
- Yes
- No
Not necessary to be accepted for the adventure.

Now we need you to read some acknowledgements...
Gear and Food

ITW asks that the participants follow all the requirements of the quantity and the type of gear, clothing and food (only in the case of the reCALL adventure) permitted for the adventure. If you are allergic to some food on the menu for reCALL, please let us know.

Personal Health

If you have some sickness, allergy, food allergy or intolerance, or health problem, no matter what the issue, please write it in this space. We need to know this in order to serve you well.
List any health conditions
Acknowledgement*
- By checking this box, I acknowledge that I've read all of the preceding acknowledgements and let you know any/all health problems that I know about (for myself or my child).

Lastly, it's time to pay for your adventure...
All payments to ITW must be paid in advance and are no longer reimbursable 30 days before the adventure. All payments must be made in time to secure a place on the adventure.
How do you want to pay?*
- PayPal
- Bank Wire Transfer
Total
0,00 €

reNEW Registration