Sea Spray Cycle Center and Outdoor Adventure Center
Charges: $100 (Canadian) for the itinerary.
$10 (Canadian) for each reservation made on your behalf.
15% sales tax applies.

First Name: _______________________ Last Name: ___________________________________

Mailing Address:_________________________________________________________________

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Phone: (____)___________________________ Fax: (____)__________________________

E-Mail : _______________________________________________________________________

Cheque: _____; (If sending a cheque drawn on a US bank account, reduce amount by 20%.)

VISA _____; MASTERCARD _____

Card No. __________________________________________________ Exp. Date: _____________

Card Holder's Name: _____________________________________________

No. in Your Party: _____

Please list name, age and gender of each member of your party, and any medical considerations or conditions each possesses.

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Please indicate below your party's preferred activity level:

Easy (Meandering on an easy trail) _____; Rolling terrain; small hills _____;

Mixed terrain (Some steepness) _____; Lots of steep climbs are OK _____.

Activity Interest
Please indicate your level of interest in each of the activities listed below with a score of between 1 (lowest) and 10 (highest). Indicate only those areas in which you are truly interested; otherwise leave blank. Thank you.

OUTDOOR ACTIVITIES:

Short Hikes (less than 2 hrs) _____; Longer Hikes (2 hrs plus) _____

Short Trail Run (less than 1 hr) _____; Longer Trail Runs (over 1 hr) _____

Road Bike Routes (1/2 day or less) _____; Road Bike Routes (over 1/2 day) _____; Auto Shuttle _____;

Multi-Day Road Bike Routes _____; Organized Guided Road Tours ______Road Bike Rentals _____

Mountain Bike Tours (less than 2 hrs) _____; Mountain Bike Tours (2-4 hrs) _____;

Mountain Bike Tours (all day) _____; Mountain Bike Rentals _____

Kayak Tours (less than 4 hrs) _____; Kayak Tours (over 4 hrs) _____;

Kayak Tours (overnight) _____; Kayak Rentals _____.

Cross Country Skiing (groomed trails) _____; Cross Country Skiing (back country) _____;

Alpine Skiing _____; Telemark Skiing _____; Cross Country Ski Rentals _____.

Snowshoeing (light exertion) _____; Snowshoeing (aggressive) _____; Snowshoe Rentals _____.

Snowshoeing tours (under two hours) _____;Snowshoeing tours (over two hours) _____

INDOOR ACTIVITIES:

Classical Music Recitals _____ Local Irish & Scottish Music Recitals _____

Museums _____ Working Craft Studios _____ Gift Shops (local crafts) _____ Art Galleries _____

Wildlife Interpretive Programs _____ Local Historical Tours _____ Genealogical Research _____

ACCOMMODATIONS:

Bed & Breakfast _____ Motels _____ Efficiency Cabins _____ Resorts _____
Campgrounds (tent) _____; Campgrounds (RV) _____

RESTAURANTS:

Fast Food _____ Family _____ Liquor License _____ Upscale _____

OTHER INTERESTS (Not noted above) & COMMENTS:

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Please fax this form to: (902) 383-2732. Thank you for your input..

Liability Release
I (we) hereby certify that the information provided herein is true, and that we acknowledge that we are providing it for the sole purpose of assisting representatives of Sea Spray Cycle in suggesting a package of outdoor activities for us to pursue during our visit to Cape Breton Island. We further acknowledge that we understand that Sea Spray Cycle's staff will use the information we provide to plan an activity package to the best of their abilities, based upon said information, but that we will use the suggested package only as a guide, and that the final decision as to participation in any activity is ours alone. We accept full responsibility for our ultimate use of the information provided by Sea Spray Cycle, and that we will hold Sea Spray Cycle, its staff and officers, in no way liable for any situation resulting from our participation in any or all activities suggested by Sea Spray Cycle's staff, officers or employees.

Signature(s): ________________________________________________

Date: ______________________