ADK Accident/Incident Report
Please fill out the below form following an accident or incident. If this is for an accident please submit a signed Release of Liability - Group Form to Neil@adk.org or mail to ADK, 814 Goggins Road, Lake George NY 12845 ATTN Virginia Etu. Forms will be electronically sent to Neil Woodworth and Virginia Etu.
Person Completing Form *
Your answer
Address *
Your answer
Phone Number *
Your answer
Date, Time and Location of Accident *
Your answer
Description of Accident *
Your answer
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