Trip Registration Form

Please enter the details below to register for a trip(s) of your choice.

Name First Last
Phone - (###) - ### ####
Please enter a cell # or phone number where you can best be reached.
Email
Your Height & Weight

Please enter height and weight for each participant.
Other Participant Name(s)

If there are other people joining your on this trip please enter their names. Just first names are ok. Please be sure to enter their weights and heights if you know too.
Trip

Please select which trip you are registering for.
Date / MM / DD YYYY
Time of Tour : HH MM AM/PM
Experience/Comments

Please enter your activity experience and any health details that would be important for us to know. (Food allergies, health restrictions, etc.)
Emergency Contact First Last
Please state whom we should contact in the event of an emergency.
Phone - (###) - ### ####
How did you hear about us?
Waiver: Agreement to Participate and Release

In consideration of Adventure Seeker Tours accepting my application, and by filling out this Registration Form I hereby release and forever discharge the aforementioned organization (Adventure Seeker Tours), their officers, directors, servants and agents for any liability whatsoever arising as a result of my or my children's participation in these programs and I declare that this release is binding upon me, my heirs, executors, administrators as assigned. I also realize that the aforementioned are not liable for any theft from vehicles or otherwise and may alter a trip due to interruptions in government services, weather conditions, group abilities, or other uncontrollable events without penalty to the organizers. Alterations to plans can and do occur but reasonable attempts to complete a program as described in the online brochure will be made. I am aware that certain activities can be physically demanding and that I must be in adequate health and reasonably fit. If at any time I question my ability or my physical comfort I will advise the group leader and may withdraw from any activity before participating. By participating in new activities and in new surroundings I realize I must be extra cautious of slippery conditions, leaving the group leaders company etc. Further, I am aware most activities will be conducted in the outdoors in all kinds of weather and there will be dangers and hazards which cannot be foreseen; as well as complications due to inaccessibility of medical facilities.
I acknowledge they may result in loss or damage to personal property and injury or fatality to the person.
Do you Agree with the Terms outlined in the Waiver? * Yes No
If you select no, you will not be allowed to participate in any of the trips.
Type the letters you see in the image below.