Registration for Wild Tundra Adventures

Please fill out one form for each member of your party.

Your Name: Home Phone:
Business Phone: Email:
Mailing Address in Full: Number of people in your party:
(A $600 deposit is required for each person)
Preferred trip dates: (All trips start on Saturday and end the following Saturday )
1st choice: Starting Saturday -
(Day, Month and Year) 		2nd choice: Starting Saturday -
(Day, Month and Year)

Method of Payment - $600 Deposit Per Person

Credit Card Cheque or Money Order
Illnesses or Injuries that may affect your trip with us: Special dietary needs or allergies:

How would you describe your general physical condition?

Excellent Good Fair Not Great

Special interests while on your trip with Wild Tundra:

Wild Tundra inc.

Toll Free 877-392-6656          e-mail clearwater@wildtundra.com          Cell 401-339-2452