Taste of Wilderness Tours: Registration Form

P.O. Box 795
Grande Cache, Alberta
Canada T0E 0Y0

Phone (780) 827-4250

Registration Form

NAME: ______________________________________________________________________

MAILING ADDRESS: ___________________________________________________________

TOWN/CITY: _______________________________ PROVINCE/STATE: _________________

COUNTRY: _________________________________ POSTAL CODE/ZIP: ________________

PHONE: (home) ____________________________ (work) __________________________

EMAIL: ___________________________________ FAX: ____________________________


TRIP NAME: _________________________________________________________________

TRIP DATE: _______________________________ NUMBER IN PARTY: ________________

AMOUNT ENCLOSED: $________________________ ( ) 50% Deposit  ( ) Full Payment

Registration deadline for scheduled trips is two weeks prior to departure date. A deposit
of 50% of trip price is required on registration. Balance is due two weeks prior to
departure date. If payment becomes overdue, Taste of Wilderness Tours reserves the
right to cancel your reservation and re-sell the space.

PLEASE LIST ANY MEDICAL CONDITIONS, MEDICATIONS, ALLERGIES, ETC. ___________

____________________________________________________________________________


PLEASE LIST ANY DIETARY RESTRICTIONS _______________________________________

____________________________________________________________________________

PERSON TO CONTACT IN CASE OF AN EMERGENCY: _________________________________

RELATIONSHIP: _______________________________ PHONE: _______________________

CANCELLATION POLICY: For cancellations made more than two weeks prior to departure
date, refunds will be given less a 10% administration fee. Cancellations made within two weeks
of departure date are non-refundable. We recommend that you purchase cancelation insurance
from your local travel agent. Taste of Wilderness Tours reserves the right to cancel at any
time with a full refund.

* NOTE: Each individual is required to complete a registration form and sign the waiver
in order to be accepted on any Taste of Wilderness Tour.

HOW DID YOU HEAR ABOUT TASTE OF WILDERNESS TOURS? __________________________