Book Your Adventure Now | Craig Morgan's Off-Grid Experience

First Name

Middle Initial

Last Name

Email Address

Phone

Street Address

City

State

Zip

Age

Gender

Weight

Height

Do you currently have a heart condition of any kind?

Yes

No

If yes, what condition?

Have you ever been hospitalized due to a heart related issue?

Yes

No

Are you a diabetic?

Yes

No

I can walk up a flight of stairs without losing my breath (getting winded).

True

False

Please identify any physical and/or mental limitations, as well as other medical concerns that might be a factor in this Off-Grid Experience.

Why do you want to have an off-grid living experience?

Are you a military veteran?

Yes

No

I do not wish to answer

If so, what branch?

If so, how many years of active duty?

How did you hear about Craig Morgans Alaskan Off-Grid Experience at Jerry Lake?

Please select the dates you would like to attend:

If you have any special request or have any questions at all please use the space below.

Free Text

By signing this document, I agree that to the best of my knowledge have answered the questions on this document accurately and correctly. Sign below:

Signature

Free Text

*As soon as your application is completed you will receive a waiver agreement and a letter of non-disclosure. When we receive those documents and your deposit has been made you will receive a welcome packet, and your adventure begins.

Book Your Adventure

Book Now