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Adirondack High Adventure Trek Center
Adirondack Trek Group Application:
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Leader's Name & Age
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Address
____________________________________________________
City/State/Zip
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Phone
(H)
(B)
____________________________________________________
E-mail Address
____________________________________________________
Council
Name
Unit #
Trek Choices (rank in order of preference):
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1st Choice
____________________________________________________
2nd
____________________________________________________
3rd
Date Choices (rank in order of preference):
____________________________________________________
1st Choice
____________________________________________________
2nd
____________________________________________________
3rd
____________________________________________________
Estimated Attendance
Youth
Adults
___________________________________________________
Signature
Date
____________________________________________________________
Trek Application
Print, fill out and return to:
High Adventure Trek
Otetiana Council, Inc.
474 East Avenue
Rochester NY 14607 - 1992
