End to End Hiking Challenge, May 17, 2014
Please include a $30.00 registration fee. This fee is non-refundable after March 31,
2014. Checks should be made payable to the Taconic Hiking Club and mailed to R.J.
Hydorn, 2 Miller Avenue, Troy, NY
12180. Completed registration forms will
not be accepted until December 1, 2013. 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 &
Name and address of hometown newspaper for press release
after the challenge