White-Water Rafting Registration – Magic Around The World Travel

Thank you for your interest in Dwayne's Annual White-Water Rafting Trip. Filling out this form will hold your spot for 7 days. Once submitted you will have 7 days to contact Dwayne and pay your $50 per person deposit. Once he confirms the deposit you will be sent a receipt. If Dwayne does not receive your deposit in 7 days your spot will no longer be held until the deposit is paid.

Primary Traveler*

Name of person responsible for making payments.

First Last

Phone*

Email*

Additional Travelers

If you will be responsible for paying for additional travelers, please list them below. (Do not add additional travelers if you are only sharing hotel costs with them.)

List

Add additional travelers by clicking the + sign.

First Name	Last Name	Age (if under 18)

Travel Dates

You have the option of staying 3 nights from July 28th-July 30th 2023 or 2 nights from July 29th-30th. Please indicate the number of nights you are wanting to spend.

Travel Dates*

2 Nights July 29th-30th
3 Nights July 28th-30th

Additional Information

Please enter any additional information you feel I need to know in the box below. Allergies, etc.

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