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Wilderness Skills - Olympia Mountaineers

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APPLICATION FOR GRADUATION<br />

<strong>Olympia</strong> <strong>Mountaineers</strong> <strong>Wilderness</strong> <strong>Skills</strong> Module<br />

____ I wish to apply for graduation from the 2009 <strong>Wilderness</strong> <strong>Skills</strong> Module.<br />

____ I wish to apply for an extension in order to graduate from the 2010 <strong>Wilderness</strong> <strong>Skills</strong> Module.<br />

This application should be mailed to the address below by October 15, 2009<br />

Name: ________________________________________________________________________<br />

Address: ______________________________________________________________________<br />

City: _____________________________________________________ Zip: ________________<br />

Phone: ___________________________________ Email: ______________________________<br />

I have met the following requirements (please check):<br />

________ Attended all three class lectures<br />

Ten Essentials –<strong>Wilderness</strong> Ethics – Nutrition – Conditioning – Injury Prevention<br />

Equipment –Boots – Clothing – Places to Hike<br />

Navigation – Hazards – Weather<br />

________ Completed the Outdoor Workshop<br />

________ Completed an Experience Trip (Please indicate sponsoring branch if other than <strong>Olympia</strong>)<br />

Destination (Hike, Snowshoe, Backpack,<br />

Scramble, Climb, or Paddle) Date Leader’s Name (Branch)<br />

______________________________________ ___________ ________________________<br />

My recommendation for the Trip Leader of the Year is: ___________________________________<br />

Complete and mail this application by October 15, 2009, to:<br />

The <strong>Olympia</strong> <strong>Mountaineers</strong><br />

Climbing Committee – AS Graduation Application<br />

3110 Hampton Drive SW<br />

<strong>Olympia</strong>, WA 98512<br />

OR<br />

e-mail to: jimfrenchwa@comcast.net<br />

CONGRATULATIONS!<br />

<strong>Wilderness</strong> <strong>Skills</strong> Module Page 73 of 73<br />

<strong>Olympia</strong> <strong>Mountaineers</strong> - Hiking, Alpine Scrambling and Basic Climbing

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