Health Verification Form and Payment

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Confirm Health status

Email *

Name

Phone Number

I confirm that I am in good health

Yes, I am in good health

No, I am not in good health

I agree that I am in acceptable physical condition to hike or snowshoe the approximately 6.3 miles without needing any assistance.

Yes, I agree I am capable.

No, I am not capable.

Clear selection

I accept the possible safety risks involved in hiking or snowshoeing may include: injury from fall, overexertion, or possible dehydration.

Yes, I accept risks.

No, I do not accept the risks.

Clear selection

I will have proper attire and equipment to ensure my own comfort, hydration, and hunger needs.

dress in layers and bring appropriate weather gear.

bring my own pack with water, snacks, and necessities for myself

all of the above

$50 for the adventure, I have my own equipment.

$60 for the adventure and snowshoe and pole rentals.

I will wear my own snow boots or weather proof appropriate footwear.

Send me a copy of my responses.

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