Name___________________________________________
Address_________________________________________
City/State/Zip____________________________________
E-mail address:__________________________________
Phone number:___________________________________
Trip Date_______________________________________
The following information is used in selection of the horse and saddle. Please fill it out for each participant. This will help to insure a safe, comfortable trip.
Name Age/weight/height Riding Experience 1.___________________________________________________________________
2.___________________________________________________________________
3.___________________________________________________________________
4.___________________________________________________________________
5.___________________________________________________________________
6.___________________________________________________________________
7.___________________________________________________________________
8.___________________________________________________________________
Special Dietary needs for above guest(s):__________________________________
____________________________________________________________________
____________________________________________________________________
Pertinent medical information for above guest(s):___________________________
_____________________________________________________________________
Sleeping bag and pad:($30.00/person/trip) : ________________________________
Fishing float tube, waders and fins: ($30.00/day/set) ________________________
Deposit sent & date:___________________________
A deposit of 40% of the total trip fee is required to hold a trip date. Total balance is due 45 day prior to trip start date. The deposit is nonrefundable but may be moved a later date, not to exceed one year. If notice of cancellation is received 45 days or less before trips starting date, not refunds on the balance can be made.
I understand that all deposits are non-refundable and balances 45 days prior to trip are non-refundable. Please check one of the following:
I _____ will or ______ will not be purchasing Vacation Insurance.
___________________________________________
Name
(please print)
___________________________________________
Signature
Names and Addresses for Additional
Group Members
**Name___________________________________________
Address_________________________________________
City/State/Zip____________________________________
E-mail address:__________________________________
Phone number:___________________________________
**Name___________________________________________
Address_________________________________________
City/State/Zip____________________________________
E-mail address:__________________________________
Phone number:___________________________________
**Name___________________________________________
Address_________________________________________
City/State/Zip____________________________________
E-mail address:__________________________________
Phone number:___________________________________
**Name___________________________________________
Address_________________________________________
City/State/Zip____________________________________
E-mail address:__________________________________
Phone number:___________________________________
Return to Information Page | Return to MSR Home