*Each Participant Must Submit Their Own Form*
Name of Participant:
r IHS Member ($3) r Non-Member ($6)
Not a member? Join now and get the member rate on your hike.
Hike(s) selected:
q January 27, Issaquah & Superior q February 17, Grand Ridge
q April 8, Grand Ridge q May 19, Issaquah & Superior
I understand that I am participating in this activity at my own risk and acknowledge that I will be responsible for any and all costs incurred due to injury or loss of property during this activity.
I have consulted with a physician and verify that I am medically fit to participate in this activity. I have noted any medical conditions I feel you should be aware of on the reverse of this form.
As a condition of my participation in this activity, I agree to waive all claims against the Issaquah Historical Society and to indemnify and hold harmless from all any and all liability and claims:
Participant Signature Date
Signature of parent or legal guardian, if participant is under the age of 18
In event of an emergency, please contact:
Name Phone Number(s)
Please return along with hiking fee ($3 per person for current IHS members, $6 per person all others).
Please tear off this portion and keep it as a reminder.
Hike Date:
q January 27, Issaquah & Superior q February 17, Grand Ridge
q April 8, Grand Ridge q May 19, Issaquah & Superior
Presentation will begin at 10 AM at the Issaquah Depot Freight Room. Please bring clothing suitable for changeable weather, and a sack lunch. Hikes are held rain or shine. Your registration form MUST be received by our offices the Wednesday before the hike in order to secure your spot.