Sign In Sheeet

WEXFORD  HILL  WALKING/MOUNTAINEERING  CLUB

All participants must read the following notice and then sign below.

I accept that mountaineering is an activity with a danger of personal injury or death.  I am aware of and accept these risks and wish to participate in these activities voluntarily and shall be responsible for my own actions and involvements.

NAME                             MEMBER      YOUR PHONE NUMBER            NEXT OF KIN

                                           YES/NO                                                    PHONE NUMBER

1  LEADER/s :
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KEY QUESTIONS FOR LEADERS AT MEETING POINT

  1. Has everyone signed in ?(check contact numbers)
  2. Any new walkers?(introduce to group)
  3. Everyone got suitable gear: footwear, clothes, food, waterproofs?
  4. Do the drivers know where to go?
  5. Everybody sorted for a lift?
  6. This is the planned walk ….. (explain)……everybody comfortable with this?
  7. Any medical condition you feel leader should know about?

WALK  DETAILS

Walk Leader Weather
Mountain Range Grade
Date Duration
Distance in kms Height gain

Note to Walk Leader: Please return completed Route Card to

Liam Millar, 118 Laurel Grove, Tagoat, Co. Wexford or any Committeee member

 

                                               

WALK REPORT (…to include start point and peaks climbed)

Feedback and any issues arising.