| The Ride for the Rainforest Application Form For more information, contact the Ride's organizer, Barbara Brodman at ride4rainforest@lycos.com Visit GAI: www.gaiglobal.org To apply for The Ride, send the required information to: Global Awareness Institute Ride for the Rainforest 2208 S.E. 20th Street Fort Lauderdale, FL 33316 or E-mail your application to: ride4rainforest@lycos.com Application deadline: February 15, 2005 Application must include a $500.00 non-refundable deposit |
HOME About the Ride About the Atacama About Peru's Desert What the Ride Supports Participant Information Application Form Sponsor Form About GAI FAQs Links (Care2.com) |
| Print out and send: The Ride For The Rainforest Application Form Date: July 24-August 13, 2005 Applicant’s Name: Address: Phone: E-mail: Date of Birth: Employment: Personal: 1. Why do you want to participate in the Ride for the Rainforest? 2. What motorcycle will you be riding? 3. Will you ride alone or with a partner? 4. How much riding experience have you (and your passenger) had? 5. Have you taken any long distance motorcycle trips? Where? 6. Do you judge yourself capable of facing challenging travel with a minimum of amenities? Remember, you will be riding up to eight hours a day through the world’s driest terrain, with food and lodging often very basic. Explain your answer. 7. Will you be seeking sponsors for your trip? Have you any target sponsors? Health: 1. How would you describe your general health? 2. Are you taking any medications? What are they? 3. Have you any health problems that might affect your performance or endurance on the ride? 4. Have you any allergies? What are they? How do you treat them? 5. Do you smoke? Do you drink? Do you use controlled substances? 6. How do you judge your physical and emotional ability to deal with stress, lack of privacy, extreme weather conditions, exhausting travel schedules? You must provide the name, address, and phone number of a physician who can verify the accuracy of this section of the application. Physician's Name: Address: Phone: All information contained in your application is confidential and will be viewed only by your guides on The Ride. For more information about the Ride for the Rainforest, please contact Dr. Barbara Brodman at: ride4rainforest@lycos.com or (954) 467-3631. |