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