Moose Mountain Adventures Bookings

Click here for Text Version for mailing

Program: From: To:
First Name: Last Name
Gender: Male  Female Age:
Height: Weight:
Address:
City: Prov/State:
Country: PC/Zip:
Day Phone: Evening Phone:
Fax: E-mail:
Group Name: Group Leader:

Have you previously been on any trips or day rides at M & M Ranch?
No  Yes     When:  

Please describe your experience level around horses and/or other outdoor activities:

Do you currently have any physical health problems such as, diabetes, heart disease, epilepsy, high blood pressure, or any active communicable diseases such as hepatitis, tuberculosis, typhoid, HIV+, AIDS, etc.?No  Yes.

If yes, please give details (symptoms, their severity, duration, reccurrences, treatment).


Do you have or have you ever had any mental health problems such as, significant depression or anxiety, panic attacks, manic depression, schizophrenia, etc.?
No  Yes

If yes, please give details (symptoms, their severity, duration, reoccurrences, treatment).


Please enter any special clothing (see kit list), dietary or other requirements:

Where did you hear about us?

Book/Magazine Which one?
News Article Which paper?
Poster Where?
Internet Which site?
Friend/Word of mouth     Name?
Other What source?
Deposit of 30% required to make reservation.
Credit Card
Cheque (drawn on Canadian bank)
International Money Order
With Group
Visa Master Card
Card Type
Card Number
Name On Card
Expires

Personal information is kept in strict confidence and will be only used by the ranch to ensure your trip is as safe and enjoyable as possible.

A WAIVER OF LIABILTY must be signed by all participants on the first day prior to riding as all outdoor adventure sports involve inherent risks.

Reservations are as simple as filling out and submitting this online form or mailing/faxing the text version of the form. Upon receipt of the deposit (30%), you will be sent a letter or e-mail confirming your booking. If the date you requested is not available you will be notified immediately and you may either select an alternate date or have your full deposit refunded.

IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL AFTER MAXIMUM 3 DAYS PLEASE PHONE US OR SEND AN EMAIL! Your booking form may not have reached us.

Groups: each group member must complete the above form.

The final payment is due in full prior to departure. Cash, travelers cheques, Visa, MasterCard, International Money Orders and personal cheques are accepted.

Cancellation Policy: 50% of your deposit will be returned if we receive notice of cancellation in writing more than 30 days in advance. With less than 30 days notice the entire deposit will be forfeited. A deposit for a canceled trip may be applied to another booking within 12 months of that originally scheduled.

If you are unable to use this on-line application form, or the text version appended hereto, please contact Moose Mountain Adventures by phone, fax or e-mail and request an application form by mail.

   



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Moose Mountain Adventures
PO Box 285, Bragg Creek, AB Canada T0L 0K0
Phone (403) 949-3329 Toll-free: 1-866-513-7433 email:info@packtrips.ca