ADK Group Application

To reserve dates for a group patrol, send in a nonrefundable $250 registration deposit for each group. A second participant confirmation fee of $100 per participant ($600 minimum) must reach the La Vida Office by April 1 to confirm your dates and qualify you for a 5 percent discount. *Groups that do not confirm their patrol with the confirmation fee by April 1 will risk the possibility of forfeiting their dates. Reservations are made on a first-come, first-served basis. Group Size: A group leader may register for one or more patrols of six to 10 participants per patrol. Each group will travel separately with two La Vida Sherpas.

1. Organization or Group Name:

2. Group Leader Name:

3. Address:

4. City:

5. State:

6. Zip code:

7. Phone:

8. Email:

9. I'd like to reserve space for a backpacking patrol.

	Yes
	No

10. I'd like to reserve space for a canoeing patrol.

	Yes
	No

11. How many people do you plan on bringing with you?

12. How many groups would you like the above number split into?

13. Dates desired:

14. Alternate Dates:

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