Printable Registration Form
Terms & Conditions
On-line Credit Card Payments

TRAVELER #1

Name:
(Exactly as it appears
 on your passport)

Address:

City:

  State:

Zip Code:

Country:

Home Phone:

Work Phone:

Fax:

E-mail Address:

Sex:    Male   Female      Birthday: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /

Height:   feet  inches           Weight:   pounds

T-Shirts Size:

Adult: Med Lg XL
Child: 6-8 10-12 14-16
Age of child 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 +

Traveler #1 Passport Information

Passport #:

Expiration Date:

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /

Nationality:

Occupation:

Health & Travel Experience

I am a    Smoker   Vegetarian

TRAVELER #2

Name:
(Exactly as it appears
 on your passport)

Address:

City:

  State:

Zip Code:

Country:

Home Phone:

Work Phone:

Fax:

Sex:    Male   Female      Birthday: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /

Height:   feet  inches           Weight:   pounds

T-Shirts Size:

Adult: Med Lg XL
Child: 6-8 10-12 14-16
Age of child 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 +

Traveler #2 Passport Information

Passport #:

Expiration Date:

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /

Nationality:

Occupation:

Health & Travel Experience

I am a    Smoker   Vegetarian

Emergency Contact Information

Name:

Address:

City:

Zip Code:

Phone:

Relationship:

Courier Delivery Address

Is your daytime address the same as the above address for
courier delivery?

  Yes   No

Name:

Company:

Address:
(no PO Box)

City:

Zip Code:

Phone:

Dietary Restrictions:

Health Concerns: (Allergies, medications, physical limitations, etc.)

Previous International Travel:

Previous Camping, Hiking & Outdoor Experience:

Your Physical Exercise Routine: