Name: Fall Hike Day 2023
SKU: 46651
Availability: InStock

Your Name (Guest # 1)*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Cell Phone*

Guest # 1 Hike Choice*

First Peak of Breakneck / New Nimham Trail
Bull Hill
Cornish

Are you a current Annual or Lifetime Member of the SLC Alumni Association?*

Members: How many other guests are you registering? (Don't include yourself)*

Non-Members: How many other guests are you registering? (Don't include yourself)*

Emergency Contact Name*

(someone NOT participating on Hike Day)

First Last

Emergency contact phone number*

Guest # 2*

First Last

Guest # 2 Cell Phone (If applicable)

Guest # 2 Hike Choice*

First Peak of Breakneck / New Nimham Trail
Bull Hill
Cornish

Guest # 3*

First Last

Guest # 3 Cell Phone (if applicable)

Guest # 3 Hike Choice*

First Peak of Breakneck / New Nimham Trail
Bull Hill
Cornish

Guest # 4*

First Last

Guest # 4 Cell Phone (if applicable)

Guest # 4 Hike Choice*

First Peak of Breakneck / New Nimham Trail
Bull Hill
Cornish

Guest # 5*

First Last

Guest # 5 Cell Phone (if applicable)

Guest # 5 Hike Choice*

First Peak of Breakneck / New Nimham Trail
Bull Hill
Cornish

Notes / Requests:

Would you like to purchase a 2023 SLCAA Raffle ticket?*

The proceeds of this 50/50 Raffle will assist the Alumni Association in its mission to support camp and the SLC Scholarship Fund.

Total

$0.00

Family Hike Waiver*

I, the undersigned, intending to be legally bound, hereby for myself, my heirs, executors, and administers waive and release any and all rights and claims for damages I may have against Surprise Lake Camp and all sponsors and their representatives for any and all injuries suffered by me (and anyone else in my party) in said event. I attest and verify that I am physically fit and am prepared for this event, and that my physical condition has been verified by a licensed medical doctor. I hereby grant full permission to use any photographs, recordings of any other record of this event for any legitimate purpose.

I agree to the terms of this waiver

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Fall Hike Day 2023

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Fall Hike Day 2023

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