TUPPER LAKE TRIAD REGISTRATION

(click here for PDF)

Fill out and mail with funds [$5 per registrant] to:

Tupper Lake Triad
PO Box 795
Tupper Lake NY 12986
(checks payable to: Tupper Lake Triad)

We cannot accept canadian checks or postal order(local bank will not process)
-------------------------------------------------------------------------------------------------------------
 
                  Name______________________________________________ (Please Type / Print legibly - saves problems)


Address:______________________________________________________________________


email:_________________________________________________________________________

Climbing Log:

Winter Season starts -  December 20-2017  ends March 20- 2018!

Spring-Summer starts  March 21-2018 ends  Dec 19- 2018

Mt ___________________Date:_________Start_______Summit_________Finish_______

Mt___________________Date:_________Start_______Summit_________Finish_______

Mt __________________Date:_________Start_______Summit_________Finish_______

Comment: