IMPORTANT—Each participant must provide a signed liability release form. Roster, release forms, and payment are due by (New date) **Thursday, February 26, 2004**. The forms should be e-mailed to:

Jim C. - jcausey-at-xisp.net

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

HIKERS

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

SUPPORT WORKERS

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

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19 February 2004