Published: January 2001
Application can be downloaded. Then you can either:
1) On your computer, answer the questions (type over the straight lines) and email it to email@example.com
2) Print the application out, answer the questions and mail it to the following address
BEAR BASIN RANCH,
WESTCLIFFE, COLORADO 81252
For More information, email Carl & Lorena (firstname.lastname@example.org)
or Contact Adventure Specialists
Dec-Apr phone and fax 719 630-7687
May-Nov phone 719 783-2519: fax: 719 783-2076
Trip Name____________________________________ Departure Date_________________________
Address_______________________________________________ City ____________________
State________________, Country ______________________, Zip Code _______________
Have you been on a previous guided adventure trip?______
Describe horseback and /or outdoor experience_____________________________________________
Describe your physical fitness level_______________________________________________________
Do you exercise regularly? _________
Describe health/medical conditions_______________________________________________________
Do you smoke?______________
Dietary restrictions /preferences?________________________________________________________
Who should we notify in case of emergency_______________________________________________
I have insurance covering injury and health.________________
I hear about you from the People's Guide to Mexico Website
On international trips, hotel rooms are double occupancy. I prefer a single at $150 extra charge.
Deposit enclosed _________Peru/Mexico _________$350: Colorado $150_________
Balance to be charged 45 days prior to departure $ ________________.
Charge to MC___VISA____ #_____________________________________Exp.Date______________
Have you read the detailed description for the trip? Yes_____
Important: Please read and fill out both the application above and the following section of this form.
VERY IMPORTANT. PLEASE READ CAREFULLY. THIS IS A LEGAL CONTRACT. YOUR SIGNATURE BELOW INDICATES THAT YOU UNDERSTAND THE FOLLOWING INFORMATION:
TERMS AND CONDITIONS AND AGREE TO COMPLY.
PAYMENT AND REFUNDS: Reservations with deposits are accepted in the order received. The balance is due 45 days before departure. If you cancel, all but the non-refundable deposit will be returned if we receive written notice of cancellation at least 30 days before the trip. Payments will be retained on later cancellations unless we are able to fill the vacancy. We may cancel any departure due to insignificant booking or other reasons beyond our control. In such case, an immediate and full refund will be made of the amount paid Adventure Specialists. Itineraries and trips may be altered due to weather, trains, flight delays, sickness and other circumstances beyond are control. If any trip has to be altered or delayed by contingencies or circumstances beyond our reasonable control, the additional cost of changes and delay is the responsibility of the participant. No refunds will be given for unused services, lodging, meals, and transportation. No amount will be refunded after a trip has departed.
DEPOSITS: International trips require $350, Colorado trips require a $150 non-refundable deposit with each reservation. If less than 45 days, please send full payment.
INSURANCE: We recommend that you protect yourself with travel insurance covering accident, trip cancellation, and emergency evacuation, available from any travel agency.
GUEST RESPONSIBILITY: It is vital that persons with medical problems make them known to us well before departure. Trip members have a responsibility to select a trip appropriate to their ability and interest. The trip leader has the right to disqualify anyone at any time if he or she feels the trip member is incapable and/or a members participation will endanger the member or others of the group. Failure to adhere to directions established by the trip leaders may result in being asked to leave the trip. If you leave the trip for any reason, you are responsible for all incurred expenses. No refund will be given.
My signature below certifies that I have carefully read all of the above contract and understand and agree to comply with all of it's terms and provisions. I certify that I have read the detailed description of the trip that I am joining and am physically/mentally capable of participation. I am in good health and physical condition. I am voluntarily participating with knowledge that dangers are involved and agree to assume all risk.
Parent or Guardian sign if under 18
This is not the liability release form. As a condition of participating in one of our adventure programs, we require that you read, understand and sign the PARTICIPANT AGREEMENT, RELEASE, AND ASSUMPTION OF RISK form. (Please be sure to send in both forms when you make your reservation.)
IF YOUR TRIP INVOLVES RIDING HORSES YOU MUST EITHER SIGN THE HELMET REFUSAL STATEMENT INCLUDED WITH THE WAIVER OR WEAR A HELMET.
Adventure Specialists at Bear Basin Ranch
Westcliffe, Colorado 81252 (no street # needed)
719-783-2519 summer, 719-630-7687 winter