APPLICATION FORM FOR SUMMER TOURS:
To participate in one of our summer tours please fill out this application form (* required fields to fill out). Party of two with same address may fill out one form. These information will help us learning about your ability to participate in a tour and report information in case of injuries and illnesses during a tour. Outside medical help may not available in time during tour. At bottom of page please press "SUBMIT" to complete your reservation. All information will be held confidential and never sold to third parties.
First name* Family name*
First name 2. person* Family name 2. person
Street / P.O. Box
Zip code Town
Country*
Phone number (no spacing or -) E-mail address
Day of birth yymmdd*
Day of birth (2. person) yymmdd* _____________________________________________________________________
Tour: * Tagish Lake Canoe Tour (please type tour date) > - CA$ 1467.00/person:
Mount Lanning - Volcano Trekking Tour (please type tour date) > - CA$ 1675.00/person:
Teslin River Tour: (please type tour date) > - CA$ 1697.00/person:
Payment*: VISA* , MC* , bank transaction , PayPal We contact you by email about payment information. *3% handling fee may occur. No personal schedules please. _____________________________________________________________________
FITNESS-LEVEL* 1. person (please check box and fill out text fields correctly) bad* moderate * fit* very fit* top shape* * Pls. check the box of your physical fitness level!
Heart attacks and/or strokes*
Injuries (less than 6 months ago)*
Allergies:* (including food, medication, animal, etc.)
Physical handicap:* (legs, arms, body, head, etc.)
FITNESS-LEVEL* 2. person (pls. check box and fill out text fields correctly) bad* moderate * fit* very fit* top shape* * Please check box of your current physical fitness level!
Heart attacks and/or strokes *
Injuries (less than 6 months ago) *
Allergies:* (including food, animal, medication,etc.)
Physical handicaps:* (legs, arms, body, head)
Please press to apply for a tour. Thank you for your application. We will contact you after receiving your application form.
Please download, print and fill out liability waiver prior arrival at the lodge and send it to: Tagish Wilderness Lodge, Box 17, Tagish, YT, Canada Y0B 1T0