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March 2017 MOAC Newsletter Page 1
Be the Next MOAC Trip Coordinator of the Month and Winner of a $50 Prize!
Thru Hiking the Pacific Crest Trail At the MOAC General Meeting on April 5 at 7 PM
In 2010, Anne left her home in Boston and traveled west to do what, on average, only three hundred people accomplish each year. Starting in Campo, California (on the Mexican border), she back-packed north for 2,650 miles on the Pacific Crest Trail (PCT).
Traveling through California, Oregon and Washington, she completed her thru-hike five months later in Man-ning Park, Canada. Join us as Anne shares tales from the trail, and offers a unique visual presenta-tion gleaned from over three thousand photo-graphs taken along the way.
Anne spent most of her adult life living and work-ing in downtown Boston, then left corporate Amer-ica behind to venture west to walk the PCT. She has thru-hiked other long trails, including the Col-orado Trail, the John Muir (twice), and Vermont's Long Trail (twice). Now that she is a part-time Mainer, she can-not wait to discover Maine's trails! Anne is the author of
Tamed. A City Girl Walks From Mexico To Canada On The Pacific Crest Trail. Her book is available on her website, www.anneoregan.com, and will also be available at her presenta-tion. Please bring cash or a check to the meeting to purchase a book.
The Inaugural John Andrews Memorial Eastern Trail 5 K Event
Saturday, May 20th at 9 AM
Sponsored by O’Reilly’s Cure
This event is in honor of John Andrews,
Eastern Trail Founder,
Mentor, and Friend.
Details on page 3
Table of Contents Page 1
Pacific Crest Trail John Andrews Memorial
Page 2
President’s Corner Welcome 2017 MOAC Board
Contacting MOAC
Page 3
Eastern Trail 5K Bangor!
Classifieds
Page 4
April / May Calendar Ongoing Activities
Page 5
June Calendar Board of Directors
Volunteer Staff
Page 6
Board Meeting Summary
Page 7
Puma Diaries
Page 8
Wilderness First Aid Membership Form
Page 9
Liability Waiver Form
Page 10
Liability Waiver Form cont’d
March 2017
www.moac.org Information Line: (207)775-MOAC
Maine Outdoor
Adventure Club M O A C
Page 2 MOAC Newsletter March 2017
See photos of your trip in the newsletter!
Email photos to [email protected]
Email your trip stories to [email protected]
President’s Corner
Your Board. Your Club.
The torch passed and your new Board began its work on March 23rd. They have a solid and focused list of initiatives that build on the last Board’s work to update our look and internet presence. Exciting stuff that the Board hopes will improve web accessibility, calendaring, communi-cations, and visibility. I feel privileged to work with them: Nicolle Bissonnette, Peter Durand, Susan Martin, Jean Mura-chanian, Joel Smith, and Dick Roy.
You might note some new names, which is particularly rewarding and reminds me of a vital part of our Club — your Club.
We are an ALL-volunteer organization that thrives or fails on the efforts of its members.
So, with a tip o’the cap to Alexis de Tocqueville:
The health of a democratic society may be measured by the quality of functions performed by private citizens. *
The Board invites you to comment, sug-gest, critique, step up, offer to help, lead trips, get involved or perform a function that is vital to our Club’s health.
Thank you and I look forward to working on your behalf this year.
*https://www.brainyquote.com/quotes/quotes/a/alexisdeto387422.html
MOAC President
Bryan VanDussen
Maine Outdoor Adventure Club Members in Action
Send your photos to [email protected]
for inclusion online
Contacting MOAC
207-775-MOAC (207-775-6622)
Or toll free at 1-888-553-0811
Welcome to the 2017 MOAC Board of Directors
MARCH 25 - This week, the annual Board transition meeting took place. This is the time when outgoing board members meet with their replace-ments if they are not staying on and the torch is passed. There was some change in the board this year but many of the names stay in place.
PRESIDENT
Bryan VanDussen returns to lead our merry band for another year.
VICE PRESIDENT
Likewise, Jean Murachanian continues in her role.
SECRETARY
Nicole Bissonnette moves from an At-Large position to being the scribe for the board.
TREASURER
Sue Martin joins the board as bean-counter-in-chief.
AT LARGE
Peter Durand, after serving as Treasurer for the three-year limit, continues to serve the club in an At-Large capacity.
AT LARGE
Dick Roy joins the board.
AT LARGE
Joel Smith joins the board.
Thank you to these club members for stepping up. MOAC is an all-volunteer organization. Thanks to Hans Hackett, Jim Lennox and Jonathan Freedner for their service on the last board.
March 2017 MOAC Newsletter Page 3
Classifieds
Nature Abounds
Special Vacation Rental
2 Bedroom Cabin (sleeps 8)
Simple, Off-the-Grid Get-Away
Cozy, Comfortable, Secluded
On a private 9-acre pond, surrounded by 64 acres of conservation land
In Stoneham, Maine
Perfect for individuals, couples,
Families, and groups.
A quiet retreat immersed in nature.
FMI: unpluggedmainevacation.com or call 207.925.1056
Advertisement Rates Payment for advertisements can be made in person at the monthly meeting or by mail sent to MOAC Advertising, P.O. Box 11251, Portland, ME 04104. For more information contact Mary Ann McLaughlin, 883-4650, [email protected].
1 Mon 6 Mon 1 Year Classified $2 $12 $24 Business $15 $75 $120 Card
Back on the Map MOAC
Email [email protected]
MOAC T-Shirts
for Sale $15
Purchase at monthly meetings.
They are gray
with the MOAC moose logo,
100% polyester,
for moisture wicking,
but feel like cotton.
John Andrews Memorial Eastern Trail 5K
Announcing the inaugural John Andrews Memorial Eastern Trail 5K
Sponsored by O’Reilly’s Cure
Take part on May 20th at 9:00 AM
This event is in honor of John Andrews, Eastern Trail founder, mentor and friend. John was also a long-time MOAC member.
To learn more about John, visit www.easterntrail.org/index.php/john-andrews
To register, go to: www.active.com/scarborough-me/running/distance-running-races/john-andrews-memorial-5k-walk-run-2017
Please contact the
Eastern Trail Alliance
email: [email protected]
phone: 207-284-9260
online: www.easterntrail.org
Or contact the O’Reilly’s Cure Restaurant and Bar
Phone: 207-517-2222
Email: [email protected]
Submitted by Peter Mullen
Leave No Trace https://lnt.org/index.php
Page 4 MOAC Newsletter March 2017
Calendar April 04/22/2017 Saturday - 19th Annual Ossipee River trip
Class 2 whitewater, canoes or whitewater kayaks (not a raft trip.) When: 04/22/2017 - 11:00 AM to 4:00 PM Reg. Deadline: 04/20/2017 Difficulty: Moderate / Difficult Leader: Robert Radowicz, 603-718-8786 H, 339-645-1464 W, 207-653-9315 M Location: K esarFalls/Cornish, Talk directly with Trip Leader for details
May 05/20/2017 Saturday - Inaugural John Andrews Memorial Eastern Trail 5K
Announcing the inaugural John Andrews Memorial Eastern Trail 5K – May 20th – 9:00 AM sponsored by O’Reilly’s Cure Restaurant and Bar in Scarborough. This event is in honor of John Andrews, Eastern Trail founder, mentor and friend. John was also a long-time MOAC member. Click HERE to learn more about John. Click HERE for complete details of the event and to register. If you have any questions, please contact O’Reilly’s Cure Restaurant and Bar (207-517-2222, [email protected]) or the Eastern Trail Alliance ([email protected], 207-284-9260, http://www.easterntrail.org). When: 05/20/2017 - 9:00 AM Difficulty: Moderate Cost: Please see race w ebpage for paym ent details. Leader: Peter Mullen, 207-428-3981 H, 207-892-1820 W, 207-632-6701 M Location: Eastern Trail, parking lot on Eastern Rd in Scarborough
05/26/2017 Friday - Memorial Weekend -- Acadia Camping Trip
Camp at Bar Harbor Campground. Bike and hike in nearby Acadia National Park. Campground was $32 per night per site in 2016, with no reservations needed. Let’s plan to camp on tent sites along Loop B. Potluck dinners Saturday and Sunday night, so please let me know if you want to participate and if only a particular evening will work for you. Here is the link: http://www.thebarharborcampground.com Bar Har-bor Campground is the closest campground to the town of Bar Harbor, Acadia Na-tional Park and other points of interest. We offer quality camping, at affordable pric-es and we accommodate the smallest tent to the largest RV. This quiet, family owned campground, open from Memorial Day to Columbus Day, is perfect for families of all sizes. Sorry, we do not accept advance reservations and do not take CREDIT CARDS. I am looking for volunteers to lead hiking and biking trips. I plan to be there by noon on Friday and will plan something for Friday afternoon. When: 05/26/2017 - 10:00 AM to 05/29/2017 Difficulty: Easy / Beginner Leader: Bonnie Farrand, 207-838-0437 H Location: Bar Harbor Cam pground, Rt 3, Bar Harbor , ME 04609
05/26/2017 Friday - Hike - Great Head Trail at Acadia
We will hike the Great Head Loop, about 3.5 miles RT. Rain cancels. When: 05/26/2017 - 1:00 PM Difficulty: Easy / Moderate Leader: Barbara Henckel, 207.272.2952 M Location: Great Head trail is off Sand Beach, Meet at the entrance to Bar
Harbor Campground at 1 p.m.
05/27/2017 Saturday - Hike - Cadillac Mountain at Acadia
Hike up the Cadillac South Ridge Trail, 1500' gain, 6.4 miles RT. We will plan to eat a leisurely lunch at the summit. Bring hiking boots. layers, water, snacks, lunch. No cotton, no jeans please. Rain cancels. When: 05/27/2017 - 8:30 AM Difficulty: Moderate Leader: Barbara Henckel, 207.272.2952 M Location: South Ridge Trail, Route 3 just past Otter Cliffs, Meet at the
entrance to Bar Harbor Campground.
Ongoing Activities Sign up for the Outdoors Message Board at www.moac.org so you will get emails when a new activity is posted!
Portland area activities Monday-Friday July include: urban or beach walking, classic cross country or skate skiing, snowshoeing, down-hill skiing, indoor rock-climbing, ice skating and more. Some activities will require a head lamp or a flashlight.
All members are welcome and encouraged to post activities to the Calendar and Message Boards through our website, www.moac.org.
Cash Prize Awarded Every Month: One outdoor activity coordinator per month is randomly selected to win a $50 cash prize! The more activities you lead, the more chances you have to win!
Sign up for the Social Events/Happy Hour Message Board, to get details on where to meet for Friday Happy Hour in the southern Maine area OR to post events or learn about dancing, song fests or other social events.
For more information on specific activities, feel free to contact the following MOACers:
New Member Hikes:
Portland area - (Your name here.) W e need a volunteer to help line up walks and hikes to ensure that they happen. Contact [email protected] to volunteer.
Bangor area - Marty Williams Contact [email protected] for Bangor area and downeast MOAC members.
Rock Climbing: Bob MacKinnon [email protected]
Hiking: Jim Lennox [email protected]
Tennyson Tappan [email protected]
Skate Skiing: Pat Johnson [email protected]
Classic X-C Skiing & Alpine Touring: Eileen Whynot [email protected]
Downhill Skiing: Janice Musacchio [email protected]
Corporate Discount Downhill Ski Tick-ets Sunday River:
Bill Altman [email protected] Steven Martel [email protected]
(Member must meet Bill or Steven to purchase at the mountain.)
Happy Hour: happyhour @m oac.org
Watch the Calendar and subscribe to Mes-sage Boards at w w w .m oac.org for up-dates and details on all on-going activities!
If you would like to organize an activity, con-tact Eileen Whynot [email protected].
March 2017 MOAC Newsletter Page 5
Board of Directors
President Bryan Van Dussen [email protected]
Vice President Jean Murachanian [email protected]
Secretary Nicole Bissonnette [email protected]
Treasurer Sue Martin [email protected]
At Large Peter Durand [email protected]
Dick Roy
Joel Smith [email protected]
Volunteer Staff
Advertising Coordinator
Mary Ann McLaughlin [email protected]
Membership Coordinators
Nancy Negri Bonnie Farrand [email protected]
New Member Meeting Lead
Jean Murachanian
Newsletter Committee
Leila Donahue Jeremiah Turner [email protected]
Program Coordinators
Lianne Mitchell
[email protected] Monthly Meeting Recorder Volunteer Please! Ask at the next meeting or email [email protected]
Trail Maintenance
Dana Thurston
Web/Technical
Elaine Vadeboncoeur Eric Schwibs Peter Mullen [email protected]
Photo Administrator Ann Hitzrot
Pat Johnson [email protected]
W h at h a s
MO A C
do n e fo r
YOU?
W ha t ca n
YO U
do fo r MO A C ?
V o lu n t eer!
MOAC T-Shirts !
For Sale
$15
June 06/16/2017 Friday - Trek Across Maine
http://action.lung.org/site/TR?pg=team&fr_id=14782&team_id=132723 MOAC has a Trek team! Join us!! The Trek is a three day, 180 mile, sup-ported ALA fund-raising bike ride across beautiful Maine. It is a blast! The Trek raises money for the American Lung Association, a very worthy cause. The fund-raising minimum for the three-day option is $550. I have a limited number of free entries for the Trek, so contact soon if you want one of these. Options include: Three day option, Ride Day 1, Friday Sun-day River to Farmington, stay at UMF, Day 2, Saturday, Farmington to Waterville, stay at Colby, Day 3, Sunday, Waterville to Belfast. Two Day Option: Ride Saturday in Loop from Colby, Sunday to Belfast. Currently, most team members are arriving at Sunday River for registration by bus on Thursday 6/15/17. Bus tickets go on sale on 4/1/17.
Accommodations and other Thursday costs (meals) are outside the entry fee. This is a very well supported ride. Accommodations, whether camping or dorms, meals, rest stops, ride support. We will be having training rides, and also join some other rides around the area, or you can train on your own or with other clubs if you don't live near. The Trek is not especially difficult, but you should be prepared with some mileage to manage the distances over the three days. Rest stops
are spaced generally 12-20 mile increments, although the first is a bit further. There are volunteer opportunities, as well! When: 06/16/2017 - 7:00 AM to 06/18/2017 Reg. Deadline: 05/13/2017 Leader: Mary Pow ers, 781-789-1945 H Location: Sunday River Resort, 97 Sum m it Rd, New ry
Page 6 MOAC Newsletter March 2017
Board Meeting Summary for March 1, 2017 6:15-6:50 PM In attendance: Jean Murachanian, Hans Hackett, Nicole Bissonnette
Excused: Br yan Van Dussen, Peter Durand, Jim Lennox, Jonathan Fr eedner
Guest: Susan Martin, Joel Sm ith
AAUUC – We were relocated during our meeting by the Reverend who claimed our lease did not include a meeting room and it was our understanding that it did. We need to review our lease to confirm our agreement with the church.
The following discussion took place:
1. Winterfest – – topics discussed:
Is it possible we could find a venue inland that still has snow before the season ends?
Carter’s X-Country Ski Center in Bethel or Oxford were presented as options and it was decided to let the members vote in the General Meeting that evening and there seemed to be enough interest to deserve further research.
Since this meeting contact was made with Carter’s in Bethel and Oxford and due to varying snow conditions between the two sites and questions in regards to how they could accommodate a large group with their cur-rent business volume, the use of either of these locations will require longer term planning.
2. Marketing Material – updates:
Through an email conversation it was decided that a 4 fold brochure was the favored option and each fold could represent a different season.
Deadline is to have these new materials available for the following:
The Appalachian Trail Conservancy www.appalachiantrail.org, the organization that manages the AT, holds a biennial conference. This year it is in Maine. August 4-11 at Colby College. The AMC and the MATC are working as co-sponsors to organize this event and it is being advertised as the largest hiking conference in the US this year.
We will need a quorum in order to allocate the funds for these new marketing materials
3. Banking –
We have not yet identified a financial institution that offers two signature funds transfers and based upon the number of contacts made it does not seem this is an available option. As an alternative we can issue certifi-cates of deposit in multiple names in order to diversify access to our finances.
4. Activities Level of Difficulty –
discussion on establishing a universal scale for level of difficulty that would be included with posted activi-ties and it was suggested that “book time” might be a possible option.
5. Transition Board Meeting –
sometime in the coming weeks, and prior to the next General Meeting, a transition meeting will be sched-uled in order to establish the beginning of the new Board.
For more information please contact the board members at [email protected].
Next Board Meeting – 5 April, 6 pm at the AAUUC followed by the General Meeting at 7 pm.
Respectfully Submitted by
Hans Hackett, Secretary
MOAC Runs On Volunteers! Please consider coordinating more trips and activities, or volunteering for a job.
Pictures See photos of your trip in the newsletter! Email photos to [email protected]
Stories Email your trip stories to [email protected]
March 2017 MOAC Newsletter Page 7
Mixing Business and Pleasure in a Tropical Paradise: Permaculture and Conservation in the Guna Yala Islands of Panama ~BY DAVE SANTILLO MARCH 3, 2017
Fresh from a morning of paddling, strolling around palm-fringed beaches, and snorkeling on surrounding coral reef, our group of 11 sea kayakers sat under a cane shelter on the edge of a large white sand beach on an island in the Carib-bean Sea called Masargandup, digesting lunch and sipping water from coconuts.
On the other side of the sandy clearing, an important “business” meeting was underway. Geraldo DelValle, a member of the indigenous Guna community, smiled broadly and gestured wildly as he excitedly talked of his plans for the island, sneaking a bite every now and then from the plate of pasta salad and veggies we had shared with him from our lunch cooler.….
Our host on the island, Geraldo had spent 25 years as a Profes-sor of Agriculture at a university in Panama City, and now was back home devoting his energies specifically to benefit his community and to protect the natural environment – two closely intertwined concepts in Guna culture. During our visit to Masargandup, Geraldo shared several of his island initia-tives with our group. On the edge of a grove of coconut trees, we learned about his efforts at growing vegetables and fruits in the sandy soil, organic composting and building soil, and con-serving water. Geraldo spoke with passion about the need to conserve entire ecological systems in his homeland. It quickly
became apparent that Geraldo was in the early stages of applying Permaculture principles to his island, even if he wasn’t familiar with the word.…. Story continues. Read more at https://puma-diaries.com
Submitted by Dave Santillo
Website Change To Improve Clarity One of the goals of the cur-rent MOAC Board is to im-prove the club’s presence on the Internet. A small step has been taken by creating a sep-arate page to list Member Benefits.
You will find this page listed in the green navigation bar down the left side of the screen. It is titled, amazingly, Member Benefits.
On this page you will find information, that was already on our website, but was not always easy to find.
This page lists what you get as a member; both what MOAC provides, as well as discounts and offers from area outfitters, and other places MOACers love to hang out.
Submitted by Peter Mullen
Page 8 MOAC Newsletter March 2017
Maine Outdoor
Adventure Club
M O A C
M E M B E R S H I P F O R M For families, each adult fills out his or her own Membership Form. Mail completed forms with check to: MOAC, P.O. Box 11251, Portland, ME 04104
Renewal Reactivation New Member Change of Information
Individual, Email Newsletter $20 Family, Email Newsletter $30 PERSONAL DATA
Name: ___________________________________________
Street: ___________________________________________
City: ____________________________________________
State: _____________________ Zip: __________________
Home Phone: ___________________________________
E-Mail: _______________________________________
Work Phone: ___________________________________
Cell Phone: ____________________________________
LIABILITY WAIVER (Signature Required) 1. I hereby state that I wish to participate in activities offered by the Maine Outdoor Adventure Club (hereafter referred to as MOAC), a non-profit organization. I recognize any outdoor activity July
involve certain dangers, including but not limited to the hazards of traveling on the water and in mountainous terrain, accidents or illness in remote places, force of nature, and the actions of participants and other persons. I further understand and agree that without some program providing protection of its assets and its volunteers, MOAC would not be able to offer its activities.
2. In consideration for right to participate in the activities offered by MOAC volunteers, I agree to RELEASE, HOLD HARMLESS AND INDEMNIFY MOAC and its members from any and all liability, claims and causes of action arising out of or in any way connected with my participation, or the participation of any minor that I am signing on behalf of, in any activities offered by MOAC volun-teers. I personally assume all risks in connection with these activities. If I am signing on behalf of a minor I further agree to HOLD HARMLESS AND INDEMNIFY MOAC and its members from all liability, claims and causes of action which the minor July have arising from the minor's participation in activities. The terms of this agreement shall serve as a release and indemnity agreement for my heirs, personal representative, and for all members of my family, including any minors. (Parents or legal guardians must sign for all persons under eighteen (18) years of age.)
3. Further, I understand that:
I hereby certify that I have read this document; and understand and agree with its content.
Signature: ____________________________________________________________ Date: _______________________
Avoid Delays, Click “Join Today!” on www.moac.org
P.O. Box 11251, Portland, Maine 04104
Family Member (Significant Other and Minor Children) No Charge
a. I am solely responsible for judging my qualification and for my safety and agree to equip myself properly and take appropriate safety precautions including developing my safety skills to participate in this activity. I understand that it is my responsibility to seek help and /or discontinue participation when I judge it appropriate to do so.
b. MOAC members or event coordinators are not necessarily trained, pre-qualified, tested, or rated prior to volunteering to play any particular role on trips advertised through the club. c. I understand that injury or loss of life might result from my own or from others actions, inactions, negligence, from equipment failure, or from risks unknown or unforeseen. That other
participants in the event July not know how or be able to save me should I be in trouble. d. I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by a qualified medical person and that I have informed my fellow
trip participants of any significant aspects of my physical condition or medical history that might increase risks to myself or anyone else. e. I hereby consent to receive medical treatment that July be deemed advisable in the event of injury, accident and/or illness during this event. f. I understand that at this event or related activities, I July be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders,
producers, sponsors, organizers an assigns.
The Recipe for Success: Be Safe and Have Fun!
Directions from Route 295 Take Washington Ave. (Rte 26) exit 8 and head north on Washington Ave.
At the intersection of Washington Ave. (Rte 26) and Allen Ave. (Rte 100), approximately 1.9 miles from exit 8, take a right onto Allen Ave. This is the 6th stop light from exit 8.
Directions From the Turnpike Take Rte 26 exit 53 and head south on Washington Av. (Rte 26 ).
At the intersection of Washington Av. (Rte 26 ) and Allen Av. (Rte 100), take a left onto Allen Ave. This is the 3rd stop light from exit 53.
Once you are heading east on Allen Ave. the Unitarian Universalist Church is approximately 1/2 mile on the left.
Wilderness First Aid Classes: Guidelines for reimbursement
Must have been a member for at least one year.
Must have coordinated 5 or more trips in the last 12 months.
Each request will be reviewed by board on a case-by-case basis.
Reimbursement will be $50.
No more than 5 members will be reimbursed per calendar year.
Submit requests to [email protected] with evidence of completion.
March 2017 MOAC Newsletter Page 9
Maine Outdoor Adventure Club – Liability Waiver
1. I hereby state that I wish to participate in ______________________________ offered by the Maine Outdoor Adventure Club (hereafter referred to as “MOAC”), a non-profit organization. I recognize any outdoor activity July involve certain dangers, including but not limited to the hazards of traveling on the water and in mountainous terrain, accidents or illness in remote places, force of nature, and the actions of participants and other persons. I further understand and agree that without some program providing protection of its assets and its volunteers, MOAC would not be able to offer its activities.
2. In consideration for right to participate in the activities offered by MOAC volunteers, I agree to RE-LEASE, HOLD HARMLESS AND INDEMNIFY MOAC and its members from any and all liability, claims and causes of action arising out of or in any way connected with my participation, or the partic-ipation of any minor that I am signing on behalf of, in any activities offered by MOAC volunteers. I per-sonally assume all risks in connection with these activities. If I am signing on behalf of a minor I fur-ther agree to HOLD HARMLESS AND INDEMNIFY MOAC and its members from all liability, claims and causes of action which the minor July have arising from the minor's participation in activities. The terms of this agreement shall serve as a release and indemnity agreement for my heirs, personal rep-resentative, and for all members of my family, including any minors. (Parents or legal guardians must sign for all persons under eighteen (18) years of age.)
3. Further, I understand that:
a. I am solely responsible for judging my qualification and for my safety and agree to equip my-self properly and take appropriate safety precautions including developing my safety skills to participate in this activity. I understand that it is my responsibility to seek help and /or discon-tinue participation when I judge it appropriate to do so.
b. MOAC members or event coordinators are not necessarily trained, pre-qualified, tested, or rated prior to volunteering to play any particular role on trips advertised through the club.
c. I understand that injury or loss of life might result from my own or from others actions, inac-tions, negligence, from equipment failure, or from risks unknown or unforeseen. That other participants in the event July not know how or be able to save me should I be in trouble.
d. I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by a qualified medical person and that I have informed my fellow trip participants of any significant aspects of my physical condition or medical history that might increase risks to myself or anyone else.
e. I hereby consent to receive medical treatment that July be deemed advisable in the event of injury, accident and/or illness during this event.
f. I understand that at this event or related activities, I July be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, pro-ducers, sponsors, organizers an assigns.
I hereby certify that I have read this document; and understand and agree with its content. Signature Name (please print) Date Emergency Contact __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________
Continued on next page
Page 10 MOAC Newsletter March 2017
Signature Name (please print) Date Emergency Contact __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________ __________________________________ __________________________________ ____________ ____________________
Maine Outdoor Adventure Club – Liability Waiver