Friends of Madison County Parks and Trails
Trail Sentinel Program - Registration Form


Name                                 ___________________________________

Address                             ___________________________________

City, State                          ___________________________________

Zip                                     ___________________________________

Home Phone                      ___________________________________

Work Phone                      ___________________________________

Email Address                    ___________________________________

Emergency Contact     
                    Name            ___________________________________

                    Number         ___________________________________


Do you currently own a cell phone?     Yes  ____     No  ____

Cell Phone Number            ___________________________________

Would you be willing to use your personal cell phone while on duty?    Yes  ____     No  ____



The Friends of Madison County Parks and Trails have applied for various grants to provide certain basic items for each Trail Sentinel. 
    FMCPT t-shirt
    Trail Sentinel vest
    Basic bike repair tool kit
    Basic first aid kit
    Bike carry-case for items
To simplify the log-in, log-out process, would you be willing to make a charitable contribution to purchase these items to keep in your personal possession?     
Yes  ____     No  ____



The Friends of Madison County Parks and Trails have applied for various grants to provide the following basic training required to prepare for the Trail Sentinel Program:
    First aid and CPR training
    Basic bicycle repair training
    Bicycle safety training
    Public relations training
Would you be willing to make a charitable contribution to pay for your own training?      Yes  ____     No  ____


I understand the objectives and requirements of the Trail Sentinel Program, and would like to participate:

Signature  ___________________________________                 Date  __________________