Which tour are you booking? *

Start Date:

End Date:

What type of adventure?

Scheduled Guided

Unscheduled Guided

Self-Guided

Contact Information: Primary person

See our privacy policy here

First Name *

Last Name *

Address *


City *

Province/State *

Postal/Zip Code *

Country *

Email Address *

Phone Number (home)

Phone Number (mobile)


Medical Conditions/Allergies:

Dietary Restrictions:

Contact Information: Second Person

First Name *

Last Name *

Email Address *

Phone Number (home)

Phone Number (mobile)


Medical Conditions/Allergies:

Dietary Restrictions:

Lodging Details:

We prefer to share a room with 2 beds
We prefer to share a room with 1 bed

Emergency Contact:

Full Name:

Relationship:

Phone Numbers:

Travel & Cancellation Insurance:

To purchase travel/cancellation insurance immediately, visit freewheeling.ca/insurance.html and follow the appropriate link for your country of residence.

I/We would like an insurance quote by email.
Usually provided within 1 business day, you will not have coverage until you respond to our quote.


We will need the date of birth of each traveler to optain a quote:

I/We have travel/cancellation insurance through another source.


I/We do not want travel/cancellation insurance and understand that we will lose deposits if we leave or cancel our trip.

Payment Information:

     Visa


   Mastercard

Deposit:
30% of basic tour cost is required to reserve your space(s)



Number on card:

CSV 3-digits

Name on card:

Expiry date:

Any Comments or Requests?


Waiver:
We acknowledge that our trip or excursion with Freewheeling Adventures will be subject to the terms and conditions of Freewheeling Adventures Standard Form of Agreement. We understand that these terms include that Freewheeling Adventures will not be held responsible for any loss or damage suffered by any person, in travelling to or from the trip, or before, during, or after the trip, for any reason whatsoever. We also understand that all risks involved in the taking of the trip are assumed by the participant, as are costs incurred for emergency services. We acknowledge that the form of the Agreement is immediately available at the offices of Freewheeling Adventures, and will be provided to us as part of our booking materials, or immediately for our review upon request. We understand that we must sign an unaltered copy of the Agreement with its complete terms and conditions before commencing our tour.

I/we accept the conditions of Freewheeling Adventures Waiver, and the terms and conditions of booking.*