Northern Nomad Outdoors
Yoga and Horseback Adventures
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Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact: Name and Number
Do you have any dietary restrictions?
Do you have any allergies?
What is your horse riding experience?
What is your hiking experience?
What is your yoga experience?
Do you agree to have your photo taken for advertisement purposes?
Yes
No
Only from behind
Have you read and agreed to the Northern Nomad Cancellation policy?
Yes
No
Have you released Northern Nomad and all participating parties for any and all responsibility during the outlined activities? Releasing yourself and acknowledging you are participating in possible high risk activities. I/we agree that Candace Dow and Northern Nomad Outdoors shall not be held responsible for any damage, loss or delay. I/we agree to assume all risks associated with the trip and agree that no liability attached to Candace Dow or Northern Nomad Outdoors for any personal injury, illness, delay, loss or damages to property or health. Candace Dow and Northern Nomad Outdoors reserves the right to change the program schedule if necessary. Candace Dow and Northern Nomad Outdoors shall not be held liable or responsible for any expenses, including but not limited to lodging, meals, and transportation incurred by delays or other uncontrollable issues outside of our program (including weather). In the event that you need to cancel because of unexpected circumstances, and as a general practice, we highly recommend that you protect your investment with travel insurance for your trip.
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