2014 TCT End-to-End Registration

End to End Hiking Challenge, May 17, 2014

Registration Form

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.

 

Name__________________________________________

 

Date______________________

Address________________________________________

_______________________________________________

Phone _____________________________

E- mail________________________________

Emergency Contact Name & Phone ____________________________________________

Signature______________________________________

 

Name and address of hometown newspaper for press release after the challenge

________________________________________________________________________