Please fill in the fields below as accurately as possible. If for any reason you are unable to use this form, feel free to give us a call at (800) 776-7238.* indicates a required field
Trip Information
* Requested date of trip:
* 2nd choice date of trip:
All rates are discounted rates for online booking
* Type of Trip: Select one Upper Pigeon Whitewater = $34.00/ea Lower Pigeon Float = $27.00/ea Upper/Lower Combo = $61.00/ea Ropes Course = $33.00/ea Raft & Zip – Upper = $71.00/ea Raft & Zip – Lower = $64.00/ea Raft & Ropes – Lower = $53.00/ea Raft & Ropes – Upper = $60.00/ea Zipline/Canopy Tour (6 lines, 2 Sky Bridge) = $44.00/ea Raft & Ropes & Zip– Upper = $99.00/ea Raft & Ropes & Zip– Lower = $92.00/ea Paddle & Saddle – (Upper or Lower) = $61.00/ea
* Number of Adults (18 or older):
Number of Youth (17 or younger):
Contact Information
* First Name:
* Last Name:
* E-mail:
* Mailing Address:
* City:
* State/Province:
* Zip/Postal Code:
Country: United States Canada
* Daytime Phone:
Evening Phone:
To enable us to contact you with any last minute schedule changes that may arise, please provide us with some information about where you will be staying when you visit the area.
Where will you be staying?
Lodging Phone:
Lodging Reservation is under the name:(individual, group, or company name)
Billing Information
Name on Credit Card:
Type of Credit Card: Select One Visa Master Card Discover American Express
Credit Card Number:
Expiration Date on Card (MM/YY):
Credit Card Verification Code(located on back of card):
Additional Information
How did you hear about us?
Have you rafted with us before? Yes No
Would you like to have a brochure mailed to you?Yes No
Comments or Additional Information:
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