INSPIRATIONAL YET AFFORDABLE ADVENTURES

registration

Registration Form
  1. Adventure Trekkers Online Registration Form
    Adventure Trekkers
    PO Box 460549
    Denver, CO 80246

    Please fill in the following information and press the continue button when finished.

  2. Full Name:
  3. Email:
  4. Address Line:
  5. City
  6. State
  7. Zip Code and Country:
  8. Cell Phone:
  9. Birthday Date:
  10. Fitness Level:
  11. T Shirt Size:





    ALL SHIRT SIZES WILL BE: Men's for Men, Women's sizes & cuts for Women, & Youth sizes for Kids (Unless you specify Otherwise.)

    ** NO SIZE CHANGES AFTER YOU ARRIVE IN MOAB **

  12. Trip:







    (specify preferred dates in comment area)
  13. Emergency Contact Name:
  14. Emergency Contact Phone Number:
  15. Vegetarian Meals:
  16. Referred By:
  17. Nickname:
  18. Comments or Suggestions?_Please hit ENTER when completing this field.
    Food Allergies, Bug or Plant Allergies, Heart Conditions, Seizures, Diabetes, and other Health concerns MUST be mentioned here
  19. I AGREE TO THE FOLLOWING AS A CONDITION OF PARTICIPATION I will provide and wear a helmet at all times while riding, climbing or canyoneering. I also understand that bicycling, climbing, canyoneering, hiking, camping and other outdoor activities are physically challenging and contain inherent risks of illness, injury or death, which may be caused by the negligence of others, forces of nature, consumption of alcoholic beverages, or other agencies known or unknown. I am aware that not all rides,climbs, canyons hikes will have leaders or guides. I am and will be responsible for my own route finding


    I agree that Adventure Trekkers, Inc. and its agents or anyone that may be leading an outing or anyone else participating, shall not be responsible for, or legally liable for, any losses of property or personal injury or death suffered in conjunction with anyone activities on any Adventure Trekkers trip. I have and do hereby release and discharge Adventure Trekkers, Inc. and its agents and any other participants or leaders from any and all actions, claims or demands resulting from my participation. I will not initiate and lawsuit, court action, legal preceding, or be a party to, join in, or assist in the prosecution of any leader or guide be they paid or volunteers. I waive my insurer's right to make a claim against any leader or guide. I agree for myself and my family and heirs to release any leaders or guides from liability. I have and do hereby release and discharge any leaders or guides and all their agents from all actions, claims, or demands resulting from my participation. I agree that any arbitrationand/or litigation that may arise will be settled in the state of Colorado and according to the laws of that state.


    I further assume responsibility for examination and approval of all equipment furnished by all others and for installation of equipment used by me. I acknowledge and accept responsibility for the risks including but not limited to, falls, poor decisions,inattention of belayers or other participants or leaders, failure of equipment, misuse of equipment, falling rocks, flash floods,weather or any usual, unusual or unique accident or incident. I accept responsibility for my own medical care, including but not limited to first aid, evacuation and hospitalization. I give my consent for medical release should treatment for an accident or illness be required during the trip. I accept that this release of liability applies to loss, damages, sever injury or death as a result of negligence. I understand I am solely responsible for my personal safety and wellbeing and shall take all precautions necessary while engaged in all activities


    I also give my personal consent to use photographs taken on the trip. No refund will be returned if the cancellation is received less than 30 days prior to the trip start date. No spaces will be guaranteed without full payment. I understand that this release of liability shall apply to all of my underage children for which I am the parent or guardian. You must be 21 years or older to attend or be accompanied by a parent. No dogs are permitted unless they are left in the car or are carried at all times.


    By adding/typing your name in the Signature Box below, you acknowledge that you have read the above Terms & Conditions Liability Release and agree to all paragraphs. The exact language will be printed for your record with your Registration Form at the next step in the registration process. Once you have made payment through PayPal (or sent us a check) your registration will be complete and you will be added to the list of participants
  20. Signature:
  21. Date:
  22. Confirm Captcha: