IMPORTANT—Each participant must provide a signed liability release form. Roster, release forms, and payment are due by (New date) **Friday, February 24, 2003** (New date). The forms should be mailed to:

Ted Gerarden
3647 Vacation Lane
Arlington, VA 22207-3819

Troop/Crew No.:	_____________________________________________________
Contact person:	_____________________________________________________
Address:	_____________________________________________________
Telephone:	_____________________________________________________
Email:	_____________________________________________________

HIKERS

Name	Age	Distance goal (miles)
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________

SUPPORT WORKERS

Name	Age	Telephone number
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________
__________________________________________________	_______	___________________

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20 February 2003