FAR FLUNG ADVENTURES
WHITEWATER RAFTING SCHOOLS, 2009 REGISTRATION FORM
Fill out and return to: Far Flung Adventures, P.O. Box 707, El Prado, NM 87529

NAME _______________________________________________________________________

ADDRESS _______________________ City______________________ State_____ Zip______

TELEPHONE: HOME __________________________ WORK ___________________________

E-MAIL _____________________________________

*2009 Enroll me in (first and second choices of dates):

____ May 16-22 WRS Program in NM * ____ June 20-26 WRS Program in CO

My previous river experience includes (give dates, craft, rivers):

______________________________________________________________________________

My reason for taking the course: _____________________________________________________

______________________________________________________________________________

Please note any dietary or medical considerations (chronic conditions, allergies, etc.)

______________________________________________________________________________

Enclosed find: _______ $500 Deposit (non-refundable) _______ $1185 Full tuition.

Present occupation, employer: ______________________________________________________

Age ______ Height ______ Weight ______ Size: ____XS ____S ____M ____L ____XL ____XXL

Please inform us of any medical or physical conditions or dietary considerations we should be aware of (allergies, bad shoulder, vegetarian etc.): ___________________________________

_________________________________________________________________________

PAYMENT ENCLOSED: $___________. ^$500 deposit (non-refundable)
By my signature below, I affirm my intention to participate in a Whitewater Rafting School program with Far-Flung Adventures. I have read and understand the cancellation policies. I agree, as a condition of my acceptance into this course, to save Far-Flung Adventures, its agents and instructors harmless for any
injury to my person or damage or loss of personal property

Signed _____________________________________________ Date _________________

Bill My Credit Card: Card #_____________________________ Expires ___________