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All information is strictly confidential and will not be sold to any outside parties. For extra security precautions, no financial information will be required with this form. Upon submission, we will contact you--via your preferred method--to finalize deposit information, answer any questions, and confirm your reservation. Thank you.
Tour Name:
Tour Date:
Accommodations: Inns      Camping
  
Are you a returning guest?   YES   NO
Name:
Address 1:
Address 2:
City:  State:  Zip:
Country:
Home Phone: Cell Phone:
E-mail:

What is your most-preferred
method(s) of communication?
ADDRESS    E-MAIL
CELL PHONE   HOME PHONE
We will be sending you a registration packet.
How would you like to receive it?		 SNAIL MAIL    E-MAIL

Age: Height:  Weight:  Inseam:


Preferred T-Shirt Size?  Small   Med  Large   XL
Will you need camping gear?   YES   NO
Are you interested in a shuttle from the
gateway city?*		   YES   NO
Will you need single supplement?*   YES   NO
Would you like to purchase
Travel Insurance?		   YES   NO   Send More Info
Please check your specific itinerary or call for availability.


For mountain bike, road bike and multi-sport tours....     
Will you need a bike rental?   YES   NO
Will you need a helmet?   YES   NO
What type of pedals do you prefer?   Flat/Regular 
  SPD Compatible 
  Bringing My Own
Will you need gloves?   YES   NO
Will you be shipping your bike UPS?   YES   NO
Will you need bike return via UPS?   YES   NO
Return Address
 

Briefly explain your fitness level as it relates to the type of tour you are taking:
FITNESS LEVEL
1
 2
 3
 4
 5
 6
 7
 8
 9
 10
INACTIVE
MODERATELY ACTIVE
 VERY ACTIVE


Do you have any diet restrictions or preferences?  YES   NO
If yes, please explain


Do you have any medical conditions we should be aware of?  YES   NO
If yes, please explain

What are you looking for in this particular trip?
(i.e. scenery, trails, food, etc.)

Any additional comments or notes about your reservation?

How did you hear about Escape Adventures?

Do you have any friends we should send a free
Escape Adventures brochure to? Please provide their addresses:


  
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