ADIRONDACK MOUNTAIN CLUB, INC.
814 Goggins Road, Lake George, NY 12845-9523
(518) 668-4447
TRIP______________________________________ DATE OF TRIP____________
TRIP LEADER:___________________________________________
I agree to be solely responsible for my own safety and to take every precaution to provide for my
own safety and well-being while participating in the outdoor recreational activities of the ADK.