Ferrate Tours John Resio

Ferrate Tours
John Resio, Tour Organizer
19 Old Grandview Ave.
Dallas, PA 18612

Phone Toll Free: 1-866-744-0775
Local: 1-570-675-7835
Email: ferrate@epix.net

Ferrate Tours Registration Form

If you wish to register for a tour, fill in the required information, print, and mail it to the address given above with your deposit, of $400.00 per person.

Full Name:

Street Address:

City:

State:

Zip:

Country:

Phone numbers (include area code and country code if necessary:
Phone 1:		Phone 2:

Email:

Height:

Weight:

Sex:

Age:

Health (average, above average, excellent):

Mountain Climbing Experience (Yes/No):

Hiking Experience (Yes/No):

In the event of an emergency please contact (list 2):
Contact 1
Name:
Relationship:
Phone:


Contact 2
Name:
Relationship:
Phone:

On which starting date do you want to begin your tour (See Price and Dates Page):
Start Date:		Ending Date:

Ferrate Tours is land only (does not include air fare): The airline fares are the responsibility of the participant. Enclosed is my down payment of $400.00 payable to: Ferrate Tours to lock in my reservation. Balance is due 60 days prior to your tour date.

Please write any remarks you have on the reverse side of this form.

Signature:

To Ferrate Tours:
I have examined

on Date

And found him / her to be free of any injuries or medical conditions which would interfere with physical requirements required for this strenuous activity (mountain climbing).

Sincerely, Dr.

Additional Information