Client Confirmation Form

Your Name

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Group Organizer

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Trip #

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Mailing Address

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City

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State / Province

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Country

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Home Phone

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Cell Phone

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Email Address

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Date of Birth:

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Special Diet or Food Restrictions

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Do you need

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Preferred Length (CM)

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Special Requests

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Medical Conditions / Alergies

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Emergency Contact Information

Name

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Relationship to you

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Address

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Phone Numbers

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I have read, understand, and accept all Snowwater terms and conditions

Cancelation policy Agreement

I have read and understand the Snowwater Waiver

Agree to Waiver

I have read and understand that insurance has been recommended.

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Snowwater Heliskiing

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