January 9-17, 2016
Cost: $3,579.00 (total USD)
(plus airfare)
My Own Room: $600 (additional USD)
First Name: _______________________ Last Name: ______________________________ MI: _____
Address: _________________________________________________________________
City: ________________________ State: _____ Zip: ____________
Phone (work): _________________ Phone (home): _________________ Phone (cell): ___________________ e-mail: _________________________________________ DOB: ___/___/_______ Gender: M F
Name, exactly as it appears on Passport: __________________________________________________
Are you a UWSP Alum or UWSP Student? If yes, please circle one: Alum Student
Roommate Request: _____________________ or My Own Room: (see additional cost above)
Emergency Contact (someone not traveling with): ________________________
Relationship: _____________________________________
Emergency Phone: _________________________________
T-Shirt Size: S M L XL XXL
I am in good general physical health
I have the following medical physical conditions that may limit my activities:
___________________________________________________________________
Please list any allergies you may have: __________________________________________________________
Dietary or other personal needs or restrictions: ___________________________________________________
*Every effort will be made to accommodate special needs/ requests but cannot be guaranteed.
Article in local paper Email from UWSP Adventure Tours UWSP Alumni Association Facebook Ad
Faculty - Campus Announcements Student - Campus Announcements Magazine/Newspaper Ad
Presentation Web Search Word of Mouth Program Manager Aldo Leopold Audubon Society
Or other: ________________________________________________________________________________
Please see page 2

Deposit and Payment : A $300 non-refundable deposit is required to confirm your reservation. The deposit will be applied towards the cost of your trip. All final payments are due no later than 45 days prior to departure.
Finder’s Bonus : Receive $100 off your trip for each participant you refer. If you refer 3 people then you get
$300 off your trip, etc. The participants can be family, friends, co-workers, etc.
Discounts : UWSP Alumni & UWSP Students receive a $50 discount for each trip.
Flight & Travel Arrangements: Each participant is responsible for purchasing and arranging his or her own flights as stated in the itinerary (this arrangement is most effective since many participants use frequent flyer miles or have more flight connections). However, if enough participants travel from the WI area, a group flight
(roundtrip) can be arranged and UWSP Adventure Tours would then transport the group via passenger van(s) to the airport (most likely O’Hare). This would require an additional fee (determined by size of group). Or, you can travel alone, arrive early, or stay late if you’re not part of this group. Please contact me (Trevor) regarding coordinating your flights before booking. The “About” page on our website has booking airfare tips: www.uwspadventuretours.com
Cancellations and Refunds : Cancellation of trip must be made in writing up to 16 weeks prior to departure and will be refunded in full less your $300 non-refundable deposit. Requests made within 16 weeks of and prior to 45 days before departure will be refunded 50% of tour payments (excluding $300 non-refundable deposit). Cancellations made within 45 days of departure will not be refunded.
Refunds for Missed Days: We are unable to grant refunds for any missed portions of your tour because of missed or delayed flights. Additionally, no refund is guaranteed for any feature of the tour not used as a result of weather, earthquake, personal health, or social disturbance.
Insurance: UWSP does not provide travel insurance, medical, or emergency evacuation and thus you are 100% responsible for these expenses. We strongly advise you purchase travel insurance as soon as possible because some insurance providers only guarantee certain benefits within a short time after you made this tour deposit.
If We Cancel A Trip: UWSP Adventure Tours reserves the right to cancel this trip due to force majeure or any other reasons beyond our control. We also reserve the right to cancel this trip in cases of inadequate numbers of registrations or for safety concerns. If this happens, we will refund your trip in full for land costs. UWSP
Adventure Tours is not responsible for additional expenses incurred by you in preparing for the trip (e.g. nonrefundable air tickets, visa fees, gear, travel insurance, or medical expenses).
I certify that the information I have provided on this form is accurate and correct. I have read and agree to the above terms and conditions. Enclosed is my non-refundable $300 deposit to reserve a space for me on this trip. I understand that UWSP Adventure Tours may use any appropriate trip photos or video of myself or my child (if signing for a minor) for public relations and promotional purposes only and if I don’t wish photo’s or video of myself or child be used I will notify UWSP Adventure Tours in writing.
___________________________________________ _________________
Date Signature of Participant
___________________________________________ _________________
Signature of Parent/Guardian (if applicant is under 18 years of age) Date
*minimum age to participate is 8, participants 8-17 years old must be accompanied by parent or guardian
Please make checks payable to: “UWSP Adventure Tours”
Send to: UWSP Continuing Ed., 2100 Main St., 032 Main Bldg., Stevens Point, WI 54481