Nomadbackcountryadventures.com

Custom Trip Questionnaire

Group Name:
Contact Name:
Address:
Phone:
Second Phone:
Fax:
Email:
Age/s :
Gender:	Male Female
Group size:
Desired Dates:
Dates Available:
Duration of trip:
Desired Activities:	backpacking hiking rafting other
Comments:
Desired Difficulty level:	easy moderate strenuous other
Comments:
Outdoor Experience:	camping hiking backpacking rafting other
Curricular interests:	outdoor skills native skills cooking yoga writing teambuilding environmental education ecology/conservation other
Comments:
Locations-your address and group
Starting point:
How did you hear about Nomad?:
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