Reservation Form

PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Golden Open Space - North DATE OF TRIP: Tue, Jan 05, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:18 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Marilyn Warrant          
2 Van Driver: Don Meaders            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 7.1, Uphill Ft: 700, Drive Time 1-W: 1:15. Printed: Sat, Dec 04, 2021 06:19
NVSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Bosque del Apache Tour Loop Trails DATE OF TRIP: Thu, Jan 07, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 6:00 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: John Cooper          
2 Van Driver: John Rivers            
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 5.5, Uphill Ft: 200, Drive Time 1-W: 2:30. Printed: Sat, Dec 04, 2021 06:19
PDSCS
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Loma De Las Cañas DATE OF TRIP: Sat, Jan 09, 2021
DEPARTURE TIME: 9:00 AM EST RETURN TIME: 5:21 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Tom Dieterle          
2 Van Driver: Carl Gervais            
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Hike Info -- Meet Time: 8:45 AM, Class: C (Challenging), Hike Mi: 5.7, Uphill Ft: 710, Drive Time 1-W: 1:45. Printed: Sat, Dec 04, 2021 06:19
HSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: ABQ Art, History, Architecture: Downtown-Old Town DATE OF TRIP: Tue, Jan 12, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 2:18 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Joan Weissman          
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 5.1, Uphill Ft: 10, Drive Time 1-W: 0:15. Printed: Sat, Dec 04, 2021 06:19
BCSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Piedra Lisa South DATE OF TRIP: Thu, Jan 14, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 1:12 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Nan Burke          
2 Van Driver: Jacqueline Bryant            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 3.9, Uphill Ft: 1239, Drive Time 1-W: 0:30. Printed: Sat, Dec 04, 2021 06:19
NDBMC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Ojito Hoodoo Loop DATE OF TRIP: Fri, Jan 15, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 3:33 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Joan Weissman          
2 Van Driver: Carl Gervais            
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Hike Info -- Meet Time: 8:00 AM, Class: A (Easy), Hike Mi: 4.1, Uphill Ft: 194, Drive Time 1-W: 1:15. Printed: Sat, Dec 04, 2021 06:19
PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Bear Canyon Arroyo DATE OF TRIP: Tue, Jan 19, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 2:54 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Marilyn Warrant          
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 7.3, Uphill Ft: 500, Drive Time 1-W: 0:15. Printed: Sat, Dec 04, 2021 06:19
NVSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Alameda Open Space North DATE OF TRIP: Thu, Jan 21, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 1:12 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Peggy Gilbert          
2 Van Driver: John Cooper            
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Hike Info -- Meet Time: 8:00 AM, Class: A (Easy), Hike Mi: 3.9, Uphill Ft: 15, Drive Time 1-W: 0:30. Printed: Sat, Dec 04, 2021 06:19
LVSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Bernalillito Hoodoos In-Out DATE OF TRIP: Fri, Jan 22, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 3:42 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Pam Bliss          
2 Van Driver: Sky Gross            
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 3.9, Uphill Ft: 262, Drive Time 1-W: 1:15. Printed: Sat, Dec 04, 2021 06:19
PDSCS
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Continental Divide South DATE OF TRIP: Sat, Jan 23, 2021
DEPARTURE TIME: 9:00 AM EST RETURN TIME: 4:51 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Connie Dennison          
2 Van Driver: Carl Gervais            
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Hike Info -- Meet Time: 8:45 AM, Class: C (Challenging), Hike Mi: 5.7, Uphill Ft: 998, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19
HSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Ball Ranch South DATE OF TRIP: Tue, Jan 26, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:15 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Dawn McIntyre          
2 Van Driver: Joseph Marino            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 6, Uphill Ft: 1232, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19
BCSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Mesa Prieta DATE OF TRIP: Thu, Jan 28, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 12:39 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Dawn McIntyre          
2 Van Driver: Joseph Marino            
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 3.8, Uphill Ft: 347, Drive Time 1-W: 0:15. Printed: Sat, Dec 04, 2021 06:19
PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Ball Ranch South DATE OF TRIP: Tue, Feb 02, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:15 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Theodore (Ted) Cooley          
2 Van Driver: Jabeen Vagh            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 6, Uphill Ft: 1232, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19
HSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Glorieta Canyon DATE OF TRIP: Tue, Feb 09, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:57 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Pat Newman          
2 Van Driver: Paul Cheng            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 7.4, Uphill Ft: 1030, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19
PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Carlito Springs Open Space DATE OF TRIP: Tue, Feb 16, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 12:03 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Frances Arnold          
2 Van Driver: Geri Newton            
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 2.6, Uphill Ft: 420, Drive Time 1-W: 0:15. Printed: Sat, Dec 04, 2021 06:19
LVSC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Old Cuba Road Mesa DATE OF TRIP: Fri, Mar 05, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:45 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Pam Bliss          
2 Van Driver: Sky Gross            
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Hike Info -- Meet Time: 8:00 AM, Class: B (Moderate), Hike Mi: 4.5, Uphill Ft: 360, Drive Time 1-W: 1:45. Printed: Sat, Dec 04, 2021 06:19
NDBMC
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: Arroyo Piedra Lumbre West Outer Loop Hike DATE OF TRIP: Fri, Mar 12, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:42 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Karen Rivard          
2 Van Driver: Paul Cheng            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 6.9, Uphill Ft: 750, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19
PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: 4th of July DATE OF TRIP: Tue, Jul 06, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 4:06 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Karen Rivard          
2 Van Driver: Sunita Moonka            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 5.7, Uphill Ft: 1260, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19
PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: La Luz Spur - Kiwanis Cabin Loop DATE OF TRIP: Tue, Jul 20, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 2:54 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Marilyn Warrant          
2 Van Driver: Joseph Marino            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 4.3, Uphill Ft: 805, Drive Time 1-W: 1:15. Printed: Sat, Dec 04, 2021 06:19
PDSCT
TRIP RELEASE FORM

      I hereby release and discharge the City of Albuquerque and its officers, employees, contractors, volunteers and agents from all actions, claims, damages, judgments or suits for any harm or damages to my person or property that I may sustain arising out of my participation in the trip described below. I agree to indemnify the City of Albuquerque from any damages that are due to my own negligence.
      While the City of Albuquerque/Bernalillo County, Department of Senior Affairs accepts no legal responsibility for unsatisfactory service experience, consumers are invited to contact 764-6400 to convey concerns, as needed.
TRIP TO: San Antonio Hot Spring - South Route DATE OF TRIP: Tue, Aug 03, 2021
DEPARTURE TIME: 8:15 AM EST RETURN TIME: 5:42 PM

# Name
Please Print
60+
Y/N
Signature Cell/Phone
Number
Contact Person
Please Print
Cell/Phone
Number
Return
Trip
Paid
1 Leader: Joan Weissman          
2 Van Driver: Jabeen Vagh            
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Hike Info -- Meet Time: 8:00 AM, Class: C (Challenging), Hike Mi: 8.9, Uphill Ft: 895, Drive Time 1-W: 1:30. Printed: Sat, Dec 04, 2021 06:19