6-Rivers Wilderness Adventures: Dates & Rates --> Register Online

6-Rivers - You provide the vision. We provide the opportunity.

6-Rivers Wilderness Adventures in Canada

Dates & Rates:

Trip Maps

Downloadable Forms

Packing List

6-Rivers Wilderness Adventures Online Registration Form:

I am interested in participating in a 6-Rivers Wilderness expedition. I would like to pre-register online, after which all completed documentation, along with my deposit, will follow.

NOTE** Upon completion of the following form, a space will be held for you for up to ten business days. You will not be confirmed for any trips until all of the necessary forms have been completed and received by our office.

Contact Information:

First Name:

Last Name:

Address #1:

Address #2:

City:

Prov/State:

Postal Code:

Country:

Phone:

Email:

Trip Information:

I am interested in: (check all that apply)

Youth Programs:		Adult Programs:
Seniors:		Corporate:
International:		Training:
The Duke of Edinburgh's Award

I would like to receive more information on your:
Pre-planned packages		Design-Your-Own
Trip Dates:
Your Preferred Date:		Alternate Date:

Are you currently a Duke of Edinburgh's Award participant?

Yes No

If you answered "Yes", please complete the following additional information:

Program Selected:		Program Date:
I wish to use this program to complete:
Preliminary Training:		Practice Journey (I have completed most of my training)
Additional Training Needed:
Qualifying Expedition: (I have completed all required training and practice journeys) Yes No
Residential Project:

Currently working towards:

Bronze

Silver

Gold

Additional Comments:

Duke of Edinburgh Award Program
Duke of Edinburgh	Young Canadian Challenge