OCSJ ACTIVITY SIGN IN SHEET AND WAIVER
In consideration of my being able to participate in this activity, I hereby for myself, my heirs, and
their personal representatives assume any and all risks which might be associated with the
activity. I further waive, release, discharge and covenant not to sue the Outdoor Club of South
Jersey, its officers, leaders, sponsors, volunteers, or any other representatives, or their
successors and assignees, in conjunction with any and all injuries or damages of any kind
whatsoever suffered as a result of taking part in the activity. I certify that I am in proper condition
to participate in this activity. I understand that members organizing activities are volunteers and
not trained leaders; they may not possess first aid or emergency skills; there may not be medical
assistance available on the activity. All activities present certain inherent risks and hazards,
which I must consider and assume. Bicycle helmets are mandatory on all rides; life jackets are
mandatory on all water activities. Parents or guardians are responsible for minor children
(under18) and must sign for them.
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*Leader:  Beatty      *Date  5/13/21           *Miles 24+          *Pace /B                                                                   *Initial to Indicate Safety Talk held__X____
*FOR LEADER ONLY: Please fill in your name, date miles and pace
Do you agree to the waiver? *
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TYPE YOUR FULL NAME.  This represents your signature. *
Are you a paid OCSJ Member *
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Emergency Phone number *
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