Randonnée Aventure

Randonnée Aventure  Registration  Spring 2015
514-359-6781  www.randonnee.ca
You can also register and pay on our Website
Please mark if:
Please print clearly
First name: _______________________ Last name: ______________________________
Address: __________________________________________________ Apt: __________



New member
Some information has
changed
City: ___________________________Prov: __________ Postal Code: _______________
Phone: home _____-_____-________ work _____-_____-__________ ext.: _________
E-mail: __________________________________________________
25
28
I agree to receive confirmation and information from Randonnée Aventure by email
Please mail Randonnée Aventure information
Next of kin: name____________________________________________________________Tel:___________________________
Important - Randonnée Aventure Needs Your Help!
Our success depends on the efforts of our membership. Please mark the area(s) that you would like to help out with:
Ski & Snowshoeing
Cycling
4 Hiking
8 Social Activities
 Website maintenance
Long Weekends
19  Translation
1
3
 Club Administration & Management
Telephone calling, messages, etc
20 Marketing, Publicity & Advertising .
24 No preference but I am willing to help
7
9
11
10
Annual Membership Fee:: $20
Please verify membership expiry date on mailing label.
Note: Payment must be on a separate cheque, not postdated .
 Before registering, check which trips are sold out at the Club
web site: www.randonnee.ca.
Cycling Day Trips
No registration is required for Saturday carpool or meet-and-ride
trips. See the Randonnotes or Club web site for full trip list, prices
and meeting locations.
Hiking Day Trips
 2
 3
 4
 5
 6
 7
 8
 9
 10
 11
 12
 13
 14
May 23
Sat.
May 30
June 06
June 20
July 11
July 25
Aug. 08
Aug. 22
Aug. 29
Sept. 12
Sept. 19
Sept. 26
Oct. 03
Oct. 17
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
Sat.
 To save on all bus trips pay by cheque by May 12 or on-line
by May 19. Trips after August 1 may be booked at the lower
price with a cheque postdated to August 1, if the cheque is
received before May 12.
 After registering you cannot switch trips. However, the Club
offers a buy/sell procedure.
 Newcomers may take one day trip before buying a membership.
Please mark your choices clearly with an X.
1
$____________
 Confirmation of your trip registrations will be sent to you.
Mont St-Hilaire, QC
(Meet & Hike - No registration required, See website for details)
Forêt Ouareau, N-D de la Merci, QC
Parc Sutton, Sutton, QC
*Important: For trips to the US, bring your
Haystack & Scarface, Raybrook, NY, USA*
you your
are not
a Canadian
*Important:required
For tripsdocuments.
to the US, If
bring
required
US citizen,
may need
becitizen,
fingerprinted
documents. or
If you
are not you
a Canadian
orto
US
Cap 360, Labelle, QC
andtophotographed
when
the border.
you may need
be fingerprinted
andcrossing
photographed
Montagne Grise, St-Faustin, QC
when crossing the border.
Rivière Swaggin, St-Come, QC
Parc de la Mauricie, St-Jean des Piles, QC
Cascade & Pitchoff, Keene, NY, USA*
Mansfield East, Stowe, VT, USA* (Extended)
Whiteface, Wilmington, NY, USA* (Extended)
Mystery Hike, QC
Jay Peak, Jay, VT, USA*
Parc Mont Orford, Orford, QC
Trips 2 - 14: ______ x $33 per trip ($39 for cheques dated or received after Tuesday, May 12).
= $ _________
Early Bird Price:
$33 per trip
- Cheques must be received by Tuesday, May 12. (Trips after Aug.1 may be paid with
a cheque postdated to Aug.1) On-line payment must be made by May 19.
Pre-paid Price:
$39 per trip
- Payment by mail must be received by the Club two weeks before the trip.
- On-line payment must be made before 9 pm on the Wednesday prior to the trip.
On-Bus Price:
$45 per trip
- Trips paid for on the bus do not benefit from the above discounted pricing.
Subtotal (not including membership fee - carry to other side)
Trail Maintenance - I’m interested in participating.
New York:
74
 Sept. 18-20
$ __________
Randonnée Aventure  Registration  Spring 2015
Subtotal carried from other side (not including membership fee)
page 2
$ _____________
Weekend Getaways (Carpool)
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
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
See Randonnotes or the Club website for complete details about weekends.
Space is limited and registration is first come, first served.
Weekend trips are non-refundable. However, there is a Buy/Sell procedure. See Randonnotes or the Club website for details.
Non-members please complete the membership section on the other side and include a separate $20 cheque for membership.
Victoria Day Cycling Weekend, Friday, May 15 - Monday, May 18 -- Picton, Ontario
 $225 (Payment must be received by April 27) - Carpool fee $70 payable to driver

I have a car for carpooling
I have a bike rack
5 
I would like to share a room with _____________________________________ (optional)
8 
$ __________
50
4
St.Jean Baptiste Hiking/Cycling Weekend, Fri, Jun 26 – Mon, Jun 29 - Merrill Farm, North Conway, NH, USA
51
I plan to:
$180 (Payment must be received by May 15) - Carpool fee $70 payable to driver
Cycle
3  Hike
I have a car for carpooling
I have a bike rack
I would like to share a room with _____________________________________ (optional)
2


8
4
5
$ __________
Labour Day Hiking/Cycling Weekend, Friday, Sept 4 - Monday, Sept 7 - Lake Placid, NY, USA
Details to be announced
Thanksgiving Hiking Weekend, Friday, Oct 9 - Monday, Oct 12 - Rangeley, Maine, USA
Details to be announced
Weekender Cycle Trips (Carpool)
Friday, June 12 - Sunday, June 14 (2 nights) -- Gatineau, Quebec


5
8
53
4
$160 (Payment must be received by May 8) - Carpool fee $40 payable to driver
I have a car for carpooling
I have a bike rack
I would like to share a room with______________________________________(optional)
$ ___________
Friday, July 10 - Sunday, July 12 (2 nights) -- Newport, Vermont, USA
54 
4 
5
8
$180 (Payment must be received by June 5) - Carpool fee $33 payable to driver
I have a car for carpooling
I have a bike rack
I would like to share a room with______________________________________(optional)
$ ___________
Friday, August 7 - Sunday, August 9 (2 nights) -- Middlebury, Vermont, USA
55 
4 
5

8
$185 (Payment must be received by July 03) - Carpool fee $40 payable to driver
I have a car for carpooling
I have a bike rack
I would like to share a room with_____________________________________ (optional)
$ ___________
Total for all activities (make cheque payable to Randonnée Aventure) $ ___________
$20 Membership Fee (if due, use a separate cheque payable to Randonnée Aventure) $ ___________
Please complete and sign the waiver below.
WAIVER
TO: RANDONNÉE AVENTURE (the "Club")
I understand that the Club is a not for profit corporation managed by non-professional
volunteers, that the objects of the Club are, among other things, to facilitate participation by
members in wilderness and other recreational activities and that participation in such activities
involves significant risk of bodily injury or death. I understand that none of the Club, its members,
directors, officers, servants, agents or other representatives (collectively, the “Club Organizers")
has any expertise in connection with such activities and that I am solely responsible for
determining my ability to participate in such activities.
Veuillez compléter et signer la dégagement ci-dessous.
DÉGAGEMENT
A: RANDONNÉE AVENTURE (le Club)
Je reconnais que le Club est une corporation à but non lucratif gérée par des volontaires nonprofessionnels, que les buts du Club sont, entre autres, d’aider les membres à participer à des
activités en pleine nature ainsi qu’à d’autres activités récréatives et que cette participation peut
comprendre des risques importants, de blessures corporelles ou de mort. Je reconnais que ni
le Club ni ses membres, administrateurs, dirigeants, préposés, agents ou autres représentants
(appelés collectivement les Organisateurs) ne possèdent d’expertise relative aux dites activités
et que je suis seul(e) responsable de déterminer ma capacité d’y participer.
In consideration of being permitted to participate in activities organized by the Club, I agree that
my participation, and that of any minors accompanying me in such activities, shall be entirely at
my own risk, and upon my own responsibility.
En considération de mon acceptation comme membre du Club, ou que la permission me soit
accordée de participer aux activités organisées par le Club, je conviens par la présente que ma
participation, et celle de toute personne mineure qui m’accompagnerait aux dites activités, sera
ma responsabilité,.
Furthermore, I agree that if my privilege of participation in a Club activity is transferred to
another person, in any form whatsoever, or if I purchase an activity for another person, I will
ensure that the person actually participating will provide the Club with a duly completed waiver
of responsibility prior to the start of the activity and that, if such a waiver is not provided to the
Club, I will indemnify and hold the Club and the Club Organizers harmless from and against all
liability, loss, cost or damage arising out of, or in connection with, the participation of that person
in the activity in question.
En outre, je conviens que si je cède ma participation à une activité du Club à une autre
personne, de quelque forme que ce soit, ou si j’achète une participation à une activité pour une
autre personne, il est de ma responsabilité de m’assurer que cette personne fournisse au Club
un dégagement de responsabilité dûment rempli, avant le début de l’activité et que, si ledit
dégagement n’est pas fourni, je garantis le Club contre toute responsabilité, perte ou
dommages découlant de, ou en rapport avec, la participation de cette personne à l’activité en
question.
I hereby assume, to the complete exoneration of the Club and the Club Organizers all risks of
such participation, including travel. I hereby renounce all claims and rights of action, present and
future, of whatsoever nature against the Club and the Club Organizers in respect of loss, cost or
damage (including, without limitation, bodily injury or death and damage to or loss of property)
arising out of or in connection with my participation in such activities, whether or not such loss,
cost or damage is caused by the fault of the Club or the Club Organizers and I hereby forever
release and discharge the Club and the Club Organizers therefrom and agree to indemnify and
hold the Club and the Club Organizers harmless from and against all liability, loss, cost or
damage arising out of or in connection with such participation.
I confirm that I have requested an English language version of this document, a French language
version being available.
J’accepte par la présente, à la libération complète du Club et des Organisateurs, tout risque
d’une telle participation, y compris tout risque relié au transport, je renonce par la présente à
toute réclamation et droit d’action, présent et futur, de quelque nature que ce soit contre le Club
et les Organisateurs concernant la perte ou les dommages (y compris, sans limitation, les
blessures corporelles ou la mort et les dommages à mes biens ou la perte de ces derniers)
provenant de, ou relative à ma participation aux dites activités, même s’ils sont dus à la
négligence du Club ou des Organisateurs et je donne par la présente quittance complète et
finale au Club et aux Organisateurs et conviens de les tenir indemnes de toute responsabilité,
perte ou dommage provenant de, ou relative à une telle participation.
Dated this ______ day of _____________________ 2014
Daté ce ______ ième jour de _________________ 2014
Signature:
Signature:
Prénom, nom:
Name:
(Please Print)
(lettres moulées)
Mail this form and all cheques to: RANDONNEE AVENTURE PO BOX 26541 RPO QUEEN MARY MONTREAL QC H3X 4B1