Print out and complete this form.
Then mail or fax it with the Application fee to:

ASLAN ADVENTURES INC.
3217 River Road
Elkton, VA 22827
540-746-2000 F)540-526-9402

Your (contact) Name ____________________________________________________
Church Name _____________________________________________
Address __________________________________________________
City _________________ State/Prov. ___________ Zip __________
Daytime Phone (___)_____-_______Home Phone (___) ___-____ Fax(___)_____-_______
E-mail ___________________________

Desired Dates & Program: (circle one)
Wilderness Week: $340/participant (Sun.-Sat.)
Wilderness Day: $60/participant - $80/participant w/overnight lodging & all meals

Date choice ____________________________________________
Estimated total number of participants (adults and youth): ________

River Options: (circle one)
Canoeing($25/person extra) | Rafting ($35[TN]-$60[VA]/person extra) | Tubing (no charge)

Group application fees:
Group Size of 12-20= $550
Group Size of 21-35= $775

Enclosed Application Fee $___________ Check/M.O. # ______
This application fee is nonrefundable and nontransferable. (It will be promptly refunded if the week is not available)
All groups are registered, space permitting, the same day we receive your check.
Contact Person receives a letter of confirmation and receipt.

Mail or fax to:
ASLAN ADVENTURES INC.
3217 River Road
Elkton, VA 22827
540-526-9402 - Fax