Philmont 2017 - Initial Interest Question Title * 1. What is your family Last Name? Question Title * 2. How many adults and youth are you expressing interest for? No. of adults No. of youth I (we) will definitely plan to attend if there is space 0 1 2 I (we) will definitely plan to attend if there is space No. of adults menu 0 1 2 3 I (we) will definitely plan to attend if there is space No. of youth menu I (we) will most likely attend if there is space 0 1 2 I (we) will most likely attend if there is space No. of adults menu 0 1 2 3 I (we) will most likely attend if there is space No. of youth menu I'm (we're) not sure, but definitely interested 0 1 2 I'm (we're) not sure, but definitely interested No. of adults menu 0 1 2 3 I'm (we're) not sure, but definitely interested No. of youth menu Question Title * 3. Please rank the time frames for participation (all trips are 14 days in total) 1 2 3 4 5 Right after school is out 1 2 3 4 5 First half of July 1 2 3 4 5 Second half of July 1 2 3 4 5 First half of August 1 2 3 4 5 Second half of August Question Title * 4. Please identify any times in 2017 you can NOT attend Philmont (if none, enter NONE or N/A) Question Title * 5. Do you have any dietary restrictions? Yes, but it only impacts me Yes, and it will impact my entire crew No Question Title * 6. (Optional) Please enter any other comments regarding your interest in Philmont 2017 Done