Reserve your Wilderness Spirit Adventure

Once we receive your application form we will contact you confirming your registration and send you detailed information about your canoeing adventure.

Register online

Name:

Address:Beginner  Intermediate  Advanced 
Trip Title:
Other Trip:
Name
Address:
   
City:
Prov.
Postal/Zip Code:
Country:
Home Telephone:
Work Telephone
Fax:
Email:
Canoeing experience - Beginner  Intermediate  Advanced 
Swimming Ability:
Occupation:
Date of Birth:
Male Female 
Special needs, dietary requirements, allergies, health conditions etc.
Are you providing your own tent, canoe, paddle or helmet?
Emergency Contact
Name:
Relationship:
Address:
Home Telephone:
Work Telephone:
Comments and Questions
How did you learn about Wilderness Spirit Adventures?

We will confirm your reservation via e-mail. Once space is confirmed and your deposit made, you will be sent a confirmation packet with further trip information. The packet will also include a detailed trip application and liability release form. These must be completed, signed and returned to us within 30 days of sign-up.

Please read the required reservation information and liability release before continuing.
Enclosed is $  , including a 25% deposit. Balance is due 30 days prior to your trip. Cheques should be made payable to Wilderness Spirit Adventures, and mailed to 696 McMillan Ave., Winnipeg, Manitoba, Canada, R3M 0V1. 

Notice and Release
In making this application I affirm that I am in good health, capable of performing the exercise required to participate, and that I accept as personal risk the hazards of such participation. I have read the details provided and understand the commitment. In consideration of Wilderness Spirit accepting my application, I hereby release and forever discharge Wilderness Spirit Ltd., their officers, directors, servants and agents or their heirs, successors and assigns of and from all actions, causes of action and claims of every nature, howsoever caused, arising out of or in any way connected with my participation in the Wilderness Spirit trip, not withstanding that the same may have been contributed to or occasioned by the negligence of the releasees or any of them. It is the participants responsibility to ensure that he/she has adequate medical coverage and/or disability insurance. I am 18 years or older, or I will be accompanied by an adult. I have read the above Notice and Release and payment conditions and agree to be bound by them.

Signature:
Date:

In North America call tollfree 1 866 287 1591 or 1 204 452 7049
or email info@WildernessSpirit.com

Wilderness Spirit Adventures, 696 McMillan Ave., Winnipeg, 
Manitoba, Canada R3M 0V1

Wir Sprechen Auch Deutsch

Back to our Home Page