Ireland Way Application Ireland Way Application Organization Name * First Name * Last Name * Email Address * Phone * Address * Address Street Address Street Address Apt./Building/Suite # Apt./Building/Suite # City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Date of Birth * Describe your prior hiking experience. * What is the longest number of days you slept in tents/shelters without running water or electricity? * What is the longest distance you hiked? How many days did it take? * In long distance hikes, a group of hikers tends to spread out. While we may start out together, it is likely we will not all finish together, and you may be hiking on your own. Are you capable of hiking solo on a multi-week hike if your hiking speed/style doesn't mesh with others in the group? * Have you researched the cost of travel to/from Ireland? * Apart from the cost of travel to/from Ireland, about how much money will you have to spend in total on your hike during your time in Ireland and Northern Ireland? * Have you made a plan for handling any responsibilities at home (bills, pets, property, family matters, job, etc.) while you are away for over a month? * In the event you cannot complete the hike for any reason (injury, sickness, issues at home, etc.), have you thought about how you will do that, logistically and financially? * It is strongly recommended that each hiker purchase travel insurance for the trip. Do you intend to do so? * Yes No Do you have a valid passport that expires after March 2021? * Yes No What is the longest time you have been out of the country? Please describe. * Do you have any physical or mental conditions that might limit your ability to complete a long distance hike? * If you take medications, do you have a plan to get your meds while on the hike? * Do you have a plan to acquire or maintain health insurance throughout the hike? * Donation Amount * $30 reCAPTCHA Other Comments Donate If you are human, leave this field blank.