Instructions: Please complete the pre-registration and trip payment form below to confirm availability for your trip/course.

• A confirmation will be sent to you via email within 48 hours of your submission. At that time we will also send you the medical information and liability waiver forms that are required for all trips. You may also download these forms via the links on the right.
• If you have any questions, or would like to reserve by phone, please don't hesitate to give us a call at (800) 642 - 5389!
  

Trip Information
*Which trip/course are you registering for?	1. 2. 3. 4.
Enter desired trip date & time if date option is not displayed in #4 above.	Calendar
*Enter # of people for this trip/course.
TRIP TOTAL	$
Participant Payment Information
*First Name: (as it appears on your credit card)
*Last Name: (as it appears on your credit card)
*Address: (credit card billing address)
*City:
*State/Province:
*Zip/Postal Code:
Country:
*Email address:
Home Phone w/ Area Code:
Cell Phone w/ Area Code:
Additional comments and trip details:
Payment Information
NOTE: This site is secured utilizing the highest level of encryption or security possible. This means you can rest assured that communications (e.g. credit card numbers) between your browser and this site's web servers are private and secure.
TOTAL AMOUNT: (NOTE: The amount to be charged to your credit card is 50% of the trip total.)	$
*Card Type:	Select One VISA Master Card American Express Discover
*Name on Card:
*Card Number:
*Expiration Date:
*Credit Card Security Code: (The security code is the 3-digit number on the back of your credit card that follows the last four digits of your card number. American Express customers will find the number (4 digits) above and to the right of the card number on the front of the card)
(Please note: * = required fields )