Trail Mama Hikes | Safety Release Form

Hey Hiker, to prepare for your trip please fill out this Safety & Security Release

One submission per hiker - Valid annually
Are you at least 18 years old?*

YesNo
Package Selected*
If under the age of 18 by the date of the hike's departure please have a Parent/Guardian nearby for completion.
I certify that I am allowing any photography and/or videography shared to social and other Trail Mama Hikes, LLC media platforms unless otherwise stated during and/or within 12 hours notice of the approximate destination drop-off time.*

Yes, I agree and will let her know if I don't want to be in any pictures

Parent/Guardian Info
Name of Parent/Guardian*

First NameLast Name
Address of Parent/Guardian*

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent/Guardian Phone Number*
Parent/Guardian Email*
example@example.com
Signature of Parent/Guardian*

Clear
Emergency Contact Info
Emergency Contact Name*

First NameLast Name
Emergency Phone Number*
Emergency Contact Relationship
Hiker Signature*

Clear
By submitting this form you certify that all of the information provided is correct. Additionally, all information provided will be held confidential until an emergency arises where emergency contacts may need to be reached by individuals not affiliated with Trail Mama Hikes, LLC.

We look forward to a safe and fun-filled journey together!
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Hey Hiker, to prepare for your trip please fill out this Safety & Security Release