P.O. Box 3623

Federal Way, WA 98063-3623
Fax:
253.939.3337
E-Mail: info@wildwater-river.com

Please fill-out, save or print and email or fax to Wildwater River Tours:

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Name:  Male Female Date of Birth (mm/dd/yyyy): 
Height (feet and inches):   Weight (lbs.):   Shoe Size (USA):  
Health Concerns:  No Yes   Please disclose:
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Name:  Male Female Date of Birth (mm/dd/yyyy): 
Height (feet and inches):   Weight (lbs.):   Shoe Size (USA):  
Health Concerns:  No Yes   Please disclose:  
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Name:  Male Female Date of Birth (mm/dd/yyyy): 
Height (feet and inches):   Weight (lbs.):   Shoe Size (USA):  
Health Concerns:  No Yes   Please disclose:
<% For n = 1 to int(request.querystring("groupnumber")) %>

Name:  Male Female Date of Birth (mm/dd/yyyy): 
Height (feet and inches):   Weight (lbs.):   Shoe Size (USA):  
Health Concerns:  No Yes   Please disclose:

Wildwater River Tours, Inc.
Phone: 253.939.2151
Toll-Free 1.800.522-WILD(9453)