Please print out and mail with deposit

Christian Adventures 2002 Registration Form
 Amish Country Tour
Personal Info
Name: _____________________________________________ Home Phone: (     ) ____________
Address: ___________________________________________ Work Phone: (      ) ____________
City: ____________________ State: _______ Zip: ______    
Date of Birth: ___/___/____ Age: ______ Gender:___  
Do you have Health Insurance? ____ Carrier:___________________
Rental Equipment Available      
[ ] Rental Bike  cost: free!

Rider Info:

 Height: ______  
[ ] Rental Helmet - free   Inseam: ______  
[ ] I'll bring my own bike   Helmet Size: [ ] Small  [ ] Medium   [ ] Large
[ ] I'll bring my own helmet        

please send registration to:

Christian Adventures
Public Reservations
7400 Hwy 7 
Estes Park, CO 80517


Question? call 1-970-586-7500

 Tour Price: $200
Transportation Cost: none
Equipment Rental Cost:  
+ Donation to Kid's Camp  
Total Cost:  
Subtract Deposit $100
= Balance  
Payment: Check or Money Order - U.S. Funds
Master Card      Visa          
Card # : 0

Expiration Date:

 . . . .

Signature: ___________________________________________