Emergency Contact and Medical Information

Waiver Signing Form
Have you traveled to an area with more than 200 Corona Virus case, or do you have flu/cold like symptoms such as cough, fever, shortness of breath, sneezing, headache or muscle pain?
Will you be fasting on the day of the event? *
Will you bring at least 1.5 Liters of water for this hike? *
Do you have a history of heart, high-blood pressure, are pregnant, or any other medical condition that may be adversely affected by exercise? *
Upload Doctor's Note Here: *
Maximum upload size: 67.11MB

Personal Information (Only Accessible to the Event Organizer for this event)

Emergency Contact

Your relation to this person
Primary

Medical Information

Vehicle Information

Carpool Contacts

Primary

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