Participation

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Registration Form

Check to register for an adventure.

Deposit $50 for camps, $200 for Ultimate Strider Please make checks payable to Al Whitted.

Your spot will be confirmed via email

Mail completed registration and deposit to:

Al & Megan Whitted

312 Jericho Road

Hillsborough, NC 27278

Spring Adventures 2010

$50/day - Teacher workday adventures

____ Thursday, March 18

____ Friday, March 19

Spring Break Camps 2010

$225/Week-long adventure

_____ March 29-April 2

_____ April 5-9

Ultimate Strider Adventure for 12-13 year olds

9 days backpacking on the Appalachian Trail - $900

_____ August 7-15

Summer Camp 2010

$225/Week-long adventure, $50/day adventures

_____ August 16-20

_____ Monday, August 23

_____ Tuesday, August 24

Participant's name: _________________________________________ Age ______________

Parent’s names: ____________________________________________________________

Email address: ____________________________________________________________

Mailing address: ____________________________________________________________

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Phone no. (primary): home _______________ work _______________ cell ________________ Phone no. (secondary): home _______________ work _______________ cell ________________ Emergency contact: ____________________________________________________________

Health concerns: (please include dietary restrictions/allergies) _________________________

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Activities to be limited/encouraged: ________________________________________________

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I acknowledge that my child’s participation in the Walk Your Path Well Adventures program entails known and unanticipated risks which could result in injury due to the nature of outdoor activity and play. I agree to indemnify and hold harmless Al Whitted from any claims, demands, or causes of action connected with the participation of my child. I authorize Al Whitted to transport my child in the event of an emergency.

Signed:

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You may register for each adventure by mail. You may download this form and mail the completed form with your payment to:

Please make checks payable to Al Whitted. Your spot will only be reserved when your full payment has been received. Registration form must be completed to take part in each adventure. Your reservation will be confirmed by email or mail. For a student’s first adventure, each parent/guardian must complete a one-time waiver and health form which is provided below.

Payment

Payment for the adventure is listed in the course description, located in the link “upcoming adventures.” Checks, money orders, and cash are accepted; credit cards and debit cards cannot be processed at this time. Please make checks payable to Al Whitted. Your participation in a Walk Your Path Well adventure is secured when you mail in full payment for the course. Each adventure can accommodate up to 18 participants. If your payment arrives after all slots are full, you have the choice to apply your check to the next available adventure or to receive a full refund by mail. If you decide to cancel your participation in an adventure earlier than a week prior to the adventure, you will receive a full refund. If you cancel your participation in an adventure less than a week before the adventure is scheduled, you will receive a refund of half of the amount paid. If the weather makes it impossible to hold an adventure, you will be contacted by phone and you may apply your payment to the next available adventure or the amount paid for the course will be fully refunded.

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