Application for North Country National Scenic Trail End-To-End Hiker Recognition

Application for North Country National Scenic Trail End-to-End Hike/Trip Recognition

Name ______Trail Name (optional) ______

Address ______

City ______State ______Zip ______

Country (if not USA) ______Birth Date ______Gender ____

Phone ______E-mail______

Check whether you are applying for E2E Trip _____ or E2E Hike ______recognition

Date entire trail was: begun ______completed ______

Approximate dates for NY ______PA ______

Approximate dates for OH ______MI ______

Approximate dates for WI ______MN ______

Approximate dates for ND ______VT (optional) ______

Mackinac Bridge (optional) ______

For E2E Trip applicants only Please estimate how much of your trip was hiking, bicycling, paddling, other (specify).

Hiking ______% Bicycling ______% Paddling ______% Other ______%

For E2E Hike applicants only Please estimate how much of your trip was day hiking and backpacking.

Day Hiking ______% Backpacking ______%

Please write a short essay about your experiences to enclose with this application. If you would be willing to share a photo or two, please enclose those as well. By signing this application you are giving permission to the North Country Trail Association to use this essay, or excerpts, and photos for publicity and promotion.

I hereby state that I have hiked/followed the entire North Country National Scenic Trail using the guidelines laid down in the End to End Hike/Trip Policy.

Signature ______

Date ______

May 2016