Print out this form and mail it with your deposit or final payment to:
Kumsheen Raft Adventures
PO Box 30
Lytton, BC
Canada V0K 1Z0
NAME___________________________________________________ AGE_____ SEX_________
ADDRESS______________________________________________________________________
PHONE (Home)________________________________ (Office)___________________________
TRIP DATE___________________________
PERSON TO CONTACT IN CASE OF ILLNESS OR ACCIDENT:
NAME___________________________________________ PHONE (home)_________________
ADDRESS______________________________________________________________________
Please provide us with the name of the Hotel in Vancouver at which you will be staying before or after your expedition.
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Tell us about your interests - flora, fauna, geology, geography, history, whitewater, photography, rock collecting or anything else you may be interested in.
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SPECIAL REQUIREMENTS
Let us know if you have any special needs that we can help you with. For example are you a strict vegetarian? Do you eat fish? We will try our best to provide you with what you require.
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Name__________________________________ Name__________________________________
Address________________________________ Address________________________________
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