Register for a hike Registration Details Summit Mt. Washington10.4 miles on Aug. 24, 2024 near Bretton Woods, NH (choose a different hike) Fundraising Goal ($) * Give your page a unique name, like Earl Shaffer's hike for mental health * Explain why this hike is important to you. A sample message is provided, but you can write as little or as much as you wish. * <p>I chose to join a hike with HIKE for Mental Health to help stamp out the stigma of mental illness and conserve wilderness trails.</p> <p>Would you consider making a donation, leaving a message, or sharing this page?</p> <p>Thank you.</p> Upload a photo for your page (optional). Drop image here or Select Files Uploading... Other Attendees (besides you)If you are registering additional attendees with your party, click Add Attendee below. Do not add yourself.Add attendeeDelete attendee How did you hear about us? * Select an option Google Facebook Instagram Word of mouth Prior HFMH event ATC PCTA BBRF Other How do you plan to participate? Help me decide * Select an option I am fit and plan to hike up. I plan to ride the Cog Railroad. Your Details First name * Last name * Email (your REAL email or we won't be able to send event info) * Address * City * State * Select a state or province Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Yukon Other ZIP code * Country Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Norway Oman Pakistan Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe Phone number * Date of birth * Shirt size * Select a size Mens small Mens medium Mens large Mens XL Mens 2XL Womens small Womens medium Womens large Womens XL Womens 2XL Organization Liability Waiver and Release Please read this waiver carefully. Hiking carries inherent risks including, but not limited to, the risk of injury or death. You are responsible to familiarize yourself with the risks of hiking and to decide whether to participate. You have the individual responsibility to verify that you are in good health and are physically capable of carrying out the hiking activity or any activity organized by HIKE for Mental Health. Also, it is your responsibility to ensure that you carry adequate medical, extended health, dental and accident insurance coverage, as well as protection for personal possessions. By registering for a HIKE for Mental Health activity, you will be waiving and releasing all claims for injuries you might sustain arising out of this program. HIKE for Mental Health does not assume any liability with regard to any of these risks, dangers, or hazards. As a participant in a HIKE for Mental Health activity or program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages, or loss which I may sustain as a result of participating in any or all activities connected with or associated with such program. On behalf of myself, my estate and the personal representative thereof, my heirs and assigns, I hereby forever release HIKE for Mental Health and its officers, agents, and volunteers, relating to any accident, incident or occurrence arising out of, or in connection with, my participation or the participation of my minor child/ward. In case of accident or sickness, I consent to emergency medical care provided by ambulance or hospital personnel. I hereby consent to the use of my photograph in brochures, publications, slide presentations, and/or other HIKE for Mental Health promotional materials. I read and agree to the liability waiver. *