WILDERNESS-SPIRIT EXPEDITIONS
Registration Form--Download to your Printer



Please fill out completely:

Name _______________________________________________________________________________________________

Address ____________________________________________________________________________________________

City __________________________ State _______________________ Zip __________________________________

Tel. (home) _______________ (work) ________________ (cell) __________________ (e-mail) _____________

When is the best time to reach you?: _______________________________________________________________

Name ____________________________________ Age _______________

Name ____________________________________ Age _______________

Name ____________________________________ Age _______________

Name ____________________________________ Age _______________

For each of the above describe any:

Medical problems (please explain): _________________________________________________________________

____________________________________________________________________________________________________

Allergies? _________________________________________________________________________________________

____________________________________________________________________________________________________

Are you in good physical shape? ____________________________________________________________________

____________________________________________________________________________________________________

Wilderness experience? _____________________________________________________________________________

____________________________________________________________________________________________________

Dates of trip requested? ___________________________________________________________________________

Cost of trip? ______________________________________________________________________________________

Amount of deposit enclosed? ________________________________________________________________________

How did you hear about us? _________________________________________________________________________

Wilderness-Spirit Expeditions
38659 Tassajara Road
Carmel Valley, CA. 93924
Phone: 831/594.3203
e-mail: mnason@alumnae.mills.edu

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