Guided Public Hikes Template

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Registration

First Name

Last Name

Address 

City

State

Zipcode

Primary Phone

Email

All event attendees must be registered. I will register each attendee separately. 

YesN/A

Emergency Contact

Please provide information for a contact who will not be attending the event with you.

Emergency Contact Name

Phone Number

Other

I will bring a parent permission form and register each person under the age of 18.
Click here for the parent permission form to be filled out for this event. We will also have copies available at the trailhead.

Yes

N/A

I understand that if I am experiencing any symptoms of illness on the event date, I will email the Program Manager and not attend in order to protect the health of myself and others.

Yes

How did you hear about this trek?

TINS	Social Media
TRTA Website	Friend or Family
Newspaper/Flyer	TRTA Staff/Volunteer
TRTA Monthly E-Newsletter	Other (please specify in comment box)

Comments

Thanks for registering!