2016.06.25 - 大华府Hiking Club仙难道大型登山活动: 行到水穷处 坐看云起时
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中文姓名 *
性别 *
E-mail *
请最好用Gmail,便于你看到编辑报名表信息。如提供的Email不正确,你将无法看到报名表信息和收到后续通知。
Phone
想carpooll的,一定要填写。方便联络。
State *
注意:请大家选择下面离自己比较近的中心!!!选择正确的!
City
想carpool的,必须填写。e.g.: Rockville
Address
想Carpool的,必须写。e.g.: 193 Cherry Ln
同行人数(包括自己) *
能提供的RIDE *
你能提供或需要的ride数。提供->正数;需要->负数;不需要也不提供->0。
组织或消息来源 *
免责声明: *
By checking here, I CERTIFY THAT I am 18 years or older and I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. I fully understands the risks involved in the activities, and fully, voluntarily and freely assume any and all risks. I understand that participant is fully responsible for all his/her activity and any consequence may occur. I acknowledge and agree that POC assume no liability for any accident, illness, injury, loss or damage to personal property or any other consequences arising or resulting directly or indirectly from the participation in the event.
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