IOCA Spring'99 Group Signup Form

CONTACT INFO:

Group Name
Number of People in Group (including contact person)
Contact Person: Name
Contact Person: Email
Contact Person: Phone

EQUIPMENT INFO:

Our group is planning on bringing:            bicycles,
canoes,
kayaks,
and climbing gear for people.

GROUP INFO:

Please list the names of people attending from your group: (including contact person)

For those attendees with medical training, please list their names and levels of training:

Please list any special needs (medical etc.) among your attendees:

Form created and maintained by Greg Galperin, grg@ai.mit.edu