Home
Hikes, Outings & Meetings
Hikes
Hike Ratings
Meetings
Club Information
About Us
Announcements
Contact
Join the Club!
Administrivia
President
Officers
Bylaws
Other
Photos
Trailmarkers
Links
Web Concept & Design
- Nate Uzenski
Main Logo Design
- Daniel Hindre
Site maintenance
-
Alliance Member
Family Membership & Renewal Form
*
Fields with an asterisk are required.
Member 1 name
First
*
Last
*
Member 1 email
*
Member 1 phone xxx-xxx-xxxx
Member 2 name
First
*
Last
*
Member 2 email
Street address
*
City
*
State
*
Zip
*
Emergency contact
First
Last
Emergency contact phone xxx-xxx-xxxx
Membership status
*
Never a member
Former member but not a current member
Current member renewing
Internet
From a Member
REI
How did you FIRST hear
State Park
Great Outdoor
Pied Env Center
about us?
Mast
Newspaper
YMCA
Other
Membership dues
*
I will pay
Dues have been paid by gift
Trailmarker newsletter delivery
*
US Mail hardcopy and electronic PDF
Electronic PDF only, no US Mail hardcopy
Questions or comments?
LIABILITY WAIVER
On behalf of myself and family members (if any), we do hereby release the Piedmont Hiking & Outing Club from any and all responsibility for any injuries, accidents or damages sustained while participating in a club outing. We certify our fitness and preparation to participate in an outing, and knowingly and freely accept the risk of such participation. We understand that an outing officially begins and ends at the trailhead or similar location(s) designated by the Club; and that an outing does not include carpooling, transportation, or transit to and from an outing, and we are personally responsible for and assume all risks to us associated with an outing and travel. Further, we do release any and all hike leaders, outings coordinators, club members or visitors from responsibility for any such injuries, accidents or damages that might be sustained on an outing. We understand that in the event that any person participating in an outing should, by their own volition, decide to leave the group in any manner, they shall do so at their own risk. Neither the Club nor its members shall be responsible in any manner for such actions. We have read and understand this liability waiver, and agree that receipt by the Piedmont Hiking & Outing Club of this completed membership application form and the payment of the membership dues acknowledges acceptance of this liability waiver.
Do you accept this Liability Waiver?
*
Yes (required for membership)
Human check: Enter the
first word
of the club name.
*