ADK Group Registration Form

ADK Group Registration Form

GRADUATED REFUND SCHEDULE: $250 registration deposit is nonrefundable. Cancellations before May 1: all but $250 and $100/participant deposit refunded. Cancellations between May 1 and May 31: 50% of total cost refunded. Cancellations after May 31: No refunds made.
Organization or Group Name:*
Group Leader Name*

First NameLast Name
Group Type*

SchoolChurchYouth GroupCorporateFamilyFriendsMilitaryOther
Address Line 1*
Address Line 2
City*
State*
Zip Code*
Group Leader Cell Phone Number*
Please enter a valid phone number.
Group Leader Work Phone Number
Please enter a valid phone number.
Group Leader Email Address*
What type of experience are you requesting for your group?*

Wilderness ExpeditionHigh Ropes Course ExperienceAdventure RetreatOther
How many total people do you plan will participate in this experience? Please list the estimated number of students and leaders attending.*
Because of Adirondack Park regulations, groups over 10 will have to be split into separate patrols. How many separate groups would you like to have?*
What is your trip type preference for group 1?*
What is your trip type preference for group 2?*
What is your trip type preference for group 3?*
What is your trip type preference for group 4?*
Expedition Dates desired:
Expedition Groups Only (leave blank if this does not apply)
Expedition Alternate dates:
Expedition Groups Only (leave blank if this does not apply)
Custom Date Request: If the above dates do not work for your group, you may request custom dates.

Yes, I would like to request custom datesNo, the dates above work for my group
Custom Date Request Start Date

MonthDayYear
When will your experience start?
Custom Date Request End Date

MonthDayYear
When will your experience end?
I have read and agree to the cancellation policy.*

YesNo
Do you have any questions or comments for the ADK Director at this time?
Should be Empty: