Store

Fill out the form below for the Mount Talbert Hiking Mixer June 9th at 1pm. If you fill out this form, you are confirming that you are available for this time. Autum will select participants no later than May 25th. Once selected you will be asked to purchase your spot within 2 days, or your spot will be given to the next eligible person. Autum will text and email you if you have been chosen

Name

First Name

Last Name

Phone

(###)

###

####

How old are you?

How did you hear about this?

What are the top three hobbies?

How do you like to decompress?

What do you find yourself doing on an average weekend?

I understand that I may not be chosen for this mixer, but recognize that if I wasn't chosen, it's probably for the better because it would be with individuals that don't share the same interests as me.

I understand