KSEC Day Hike Registration Form - June 2019
Come hike with members of the Kentucky Student Environmental Coalition! We'll meet in the Gorge at 11:30am on Sunday, June 23rd. Members will be carpooling from around the state (we'll help coordinate this) and overnight accommodations can be arranged for those traveling from far away. Exact details like a meeting place and the length and difficulty of our hike are TBD, we'll sort everything out the week of 6/16.
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Name *
Phone Number *
Email Address *
Date of Birth *
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Emergency Contact *
Emergency Contact Phone Number *
Where are you traveling from? *
Do you need help finding a carpool from your area? *
Will you need a travel reimbursement to offset the cost of your gas contribution? If so, please estimate your need. *
Do you have any known allergies? *
Are you taking any medications? *
Do you have any dietary needs? *
Required
Do you have any other needs you'd like us to know about, including hiking-related needs? *
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