Please include a $30.00 registration fee.
This fee is non-refundable after March 31, 2012. Checks should be made payable to the Taconic Hiking Club and mailed to Pam Bailey, 39 Fane Court, Troy
, NY 12182.
Completed registration forms will not be accepted until January 1, 2012. There will be a ceiling of 25 entrants for this event, with each application handled on a first received, first served basis. Additional entrants will be placed on a waiting list in case of cancellations. All applicants must be 18 years or older.
I, the undersigned, declare myself physically fit and able to participate in the above event. I realize that hiking events such as this are physically strenuous and hereby agree to be solely responsible for my own safety during this 29-mile hike.
I also acknowledge, agree and release the Taconic Hiking Club and any and all of its volunteers from any and all liability claims, losses and/or damages for personal injuries or death which may occur while participating in this event.
Emergency Contact Name & Phone________________________________
Name and address of hometown newspaper for press release after the challenge