OUTDOOR CLUB of SOUTH JERSEY
ACTIVITY SIGN IN SHEET
In consideration of my being able to participate in this activity, I hereby for myself, my heirs, and their
personal representatives assume any and all risks which might be associated with the activity. I further
waive, release, discharge, and covenant not to sue the Outdoor Club of South Jersey, its officers,
leaders, sponsors, volunteers, or any other representatives, or their successors and assignees, in
conjunction with any and all injuries or damages of any kind whatsoever suffered as a result of taking
part in the activity. I certify that I am in proper condition to participate in this activity. I understand that
members organizing activities are volunteers and not trained leaders; they may not possess first aid or
emergency skills; there may not be medical assistance available on the activity. All activities present
certain inherent risks and hazards, which I must consider and assume. Bicycle helmets are mandatory
on all rides ; Personal flotation devices are mandatory on all water activities. The activity does not
include carpooling, transportation, or transit to and from the activity, and I am personally responsible
for all risks associated with this travel. Parents or guardians are minor children (under18) and must
sign for them.
Date
Trip
Pace
Miles
Hours
Conditions
Lead position:
Activity Leader(s)
Initial to indicate Safety Talk held
Print your name
Clearly
Signature
Mem. Y/N
Emergency
Phone
E-mail
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Version 3-2022