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.
Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
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Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
Where are you traveling from? *
Your answer
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. *
Your answer
Do you have any known allergies? *
Your answer
Are you taking any medications? *
Your answer
Do you have any dietary needs? *
Required
Do you have any other needs you'd like us to know about, including hiking-related needs? *
Your answer
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