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Trip Registration

Please note the trip dates you are registering for below and select your rooming option.

Destination

Long's Peak - August 15-18, 2024

$2,699 - $300 deposit required and remaining balance due 90 days prior to departure

Accommodations

Contact Information

Medical and Allergy Information

If you would like to disclose any medical information that would help us respond to a medical emergency, please use the space below. 

Do you have any concerns about health conditions that might affect your ability to safely participate on the trip?

Emergency Contacts

Please list two people to be contacted in the event of an emergency:

Medical Contacts

Please provide the details of your physician or health care provider that you would like us to contact in the event of an emergency: 

Upload File
Upload File

Finish Well Agreement, Terms and Conditions

In this section, you will provide an acknowledgment regarding your trip choice and preparedness. Please consider whether you have chosen a trip that will meet your expectations and abilities. Whether in conjunction with your medical provider or not, you should consider the trip's activities carefully and assume full responsibility for selecting a trip that's suitable for your abilities.

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In addition, you will need to read and sign the Booking Terms & Conditions, and the Assumptions of Risks & Release and Indemnity Agreement below. Please read each document carefully, as they contain important information associated with your trip and must be signed by you. Your electronic signature below constitutes your agreement to be legally bound by the terms of each of these documents. 

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Electronic Signature: By typing my name and date and clicking the 'I agree' checkboxes below, I understand that I entering into, and accepting the stated terms, conditions, and agreements as a legally binding agreement. 

SIGNATURE*
Select an item ($)

*Purchased workout plan will be emailed after checkout.

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