Home 2009 Summer Adventures Contact Us Request a Brochure & DVD About Adventure Treks Why Adventure Treks? Guiding Principles Best Instructors What Others Say Watch A.T. Movies Photo Galleries Trip Activities F.A.Q.'s Online Application Our Adventures 2009 Adventures Southeast Blue Ridge Adventure Blue Ridge Experience New England New England Exploration Ultimate Northeast West PAC-16 1 Pacific Northwest 2 California Experience PAC-16 2 Alaska Leadership Summit Oregon Cascades Canadian Rockies Shasta Summits NW Leadership California Challenge Big Sky Leadership Ultimate Northwest Registered Students Download Forms Bulletin Board Parent Info School Programs Employment Links Adult Programs by EMS   Contact Us Request Info PO BOX 1321 FLAT ROCK, NC 28731 888.954.5555 info@adventuretreks.com   In accordance with the Childrens Online Privacy Protection Act, a person must be 13 years of age or older to complete and submit this form. * Required Fields —— Parent Information —— * First Name: * Last Name: —— Student Information —— * First Name:    Last Name:    (if different)    Age:    Current Grade:  (ie 6-12) * Address: * City: * State: -- Select -- AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR Other PA RI SC SD TN TX UT VA VT WA WI WV WY   * Please select other if outside the US Province: Country: * Zip: ie. 12345-1234 (4-digit optional) * Home Phone: ie. (123) 456-7890    Work Phone: ie. (123) 456-7890 * Email:  Check here to receive additional information via email. * Adventure Treks respects your privacy and keeps all emails completely confidential. We do not give your email address out to third parties.   I would like to learn more about the following Adventures:  Ultimate Northeast  SHASTA SUMMITS  Oregon Cascades Adventure  Pacific Northwest Adventure  NORTHWEST LEADERSHIP  Northwest Multisport  Blue Ridge Adventure  Ultimate Alaska  New England Exploration  Blue Ridge Experience  Pacific Northwest Experience (formerly PAC-16)  California Experience  British Columbia Adventure  California Challenge  Ultimate Northwest  Big Sky Challenge  Alaska Expedition  Leadership Summit Please send me a complimentary: Brochure Brochure & DVD   Comments: If you are interested in receiving information and are not from the United States please enter any additional address information that doesn't fit in the form above below in the comments field.

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