| Walking
Connection®
2012
On-line Registration Form - Botswana Safari
If you prefer to speak
with a staff member, please telephone us at: 800-295-9255.
IMPORTANT INFORMATION BELOW
FORM -- PLEASE READ CAREFULLY.
All
reservations can be made conveniently online and are accepted on
a first come, first served basis.
Because of very limited availability on Walking Connection adv,
your reservation is TENTATIVE until you receive a written confirmation
of acceptance from the Walking Connection. Until you receive your
confirmation, all payments are 100% refundable. UPON ACCEPTANCE,
ALL RESERVATIONS WILL BE CONFIRMED VIA E-MAIL. Once your confirmation
has been e-mailed, all payments become subject to the cancellation,
penalty and refund policy of the individual trip you are signing
up for. Please see the "Trip Details" for your trip. Also,
along with your confirmation we will send you a notice of when subsequent
payments are due. We request that all final payments for
the trip be paid by personal or business check.
Please complete
ONE reservation form for each person registering.
A $750 per person deposit is required to reserve your space.
TRIP CONFIRMATION:
This trip will be confirmed within FIVE business days of receipt
of your reservation. Once confirmed, reservations are non-transferrable.
Please be sure your trip is reconfirmed prior to making airline
reservations.
Step
One:
Complete the form below. Please
click "Submit." You will then be directed to a payment
page.
We gladly accept Visa, Mastercard,
American Express or Discover Card for your reservation deposit.
If you are use the same computer to
register multiple guests, you will only be requested to complete
the Credit Card form once, however you will have to reenter your
card number and expiration date.
Please fill out the following information
& click the SUBMIT button.
Please fill out the form
completely.
All fields in BOLD require a response.
Click SUBMIT to send your registration.
Please
complete the form completely.
Click SUBMIT to send your registration.
PARTICIPANT RELEASE:
Exercise is only one part of being healthy, seeing your doctor
is another! Before engaging in any Walking Connection or Conquer
The Canyon walk, hike, training session (whether virtual or actual)
or any other exercise or recreational activities including local,
national or international tours, trips or vacations, we urge all
individuals to consult a physician or health professional. He
or she is most-qualified to advise each about your specific health
status, needs and and ability to participate in any physical activity..
The information contained
in the materials provided to you by Conquer The Canyon or The
Walking Connection is intended to provide general information
about walking, trekking, hiking, safety while participating in
our adventures, events and tours. It is not intended nor is it
designed to act as a medical manual or guide to self-treatment.
Keep in mind that exercise, health and nutritional needs vary
from person to person, depending on age, gender, family medical
history, current health status, and other individual factors.
As a willing participant in
Conquer The Canyon and/or Walking Connection programs and adventures,
I am aware that Conquer The Canyon, LLC and The Walking Connection
walk, trek, hike, active adventure, event or tour (whether in
civilized or remote areas) encompass travel by foot, boat, plane,
automobile, motor coach, horseback, or the like. I am further
aware that the activities planned such as but not limited to walking,
trekking, hiking, boating and animal viewing, contain inherent
risks of injury, emotional trauma and illness. I recognize that
such risks may be present at any time before, during and after
the trip, walk, trek, hike, active adventure, event or tour I
am participating in with Conquer The Canyon, LLC or The Walking
Connection. I am also aware that adequate medical services or
facilities may not be readily available or accessible during some
or all of the time and that evacuation if necessary can be prolonged,
difficult and expensive, and that I bear the sole responsibility
for payment for any and all related medical treatment and transportation
costs. By registering for a Conquer The Canyon, LLC or Walking
Connection programs and adventures, and in consideration of my
initial payment and acceptance for the right to participate in
any Conquer The Canyon, LLC and/or Walking Connection walk, trek,
hike, active adventure, event or tour, now or in the future, I
have and do hereby fully assume all risk of physical or emotional
injury, property damage, emotional trauma and death, and I hereby
waive any and all rights and claims for damages I or my estate
or heirs after my death may have against Conquer The Canyon, LLC,
and/or Taylor Marketing and Management, LLC., dba., The Walking
Connection, any and all employees, independent contractors, volunteers
and any individual associated with these walk, trek, hike, active
adventures, events or tours, their representatives, successors,
and assignees, and will defend and hold them harmless for any
and all damages, injuries, mishaps and loss of property suffered
in connection with my participation in this walk, trek, hike,
active adventure, event or tour. I hereby acknowledge that I have
been advised that I must be in good health to participate in this
walk, trek, hike or active adventure, event or tour and I hereby
represent that I have adequate medical coverage for any and all
injuries I might incur.
From time-to-time, Conquer The Canyon,
LLC, The Walking Connection, corportate customers, hosting companies,
vendors, other guests, companies and sponsors involved may take
photographs and/or other electronic images and/or videos of me
during this adventure, event or tour. I willingly give my permission
to Conquer The Canyon, LLC and/or The Walking Connection the free
use of my name, likeness, photographs and other electronic pictures
or videos and any opinion expressed by me in any advertisement,
newsletter, broadcast, telecast or print media account of this
adventure, event or tour without prior notice or any compensation
to me whatsoever.
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