Waiver of Liability Please fill out the Waiver of Liability and attach it to the registration or you can print it out and fax it to (209) 368-7435.You can also mail the form with the check to:Excellent Adventures619 W. Pine StreetLodi, CA 95240Remember to sign it before you send it. Do not worry because your details will never be distributed to any third party, nor will you be sent unsolicited email. Please read our Privacy Statement for more details. Thank you. Download the Waiver of Liability Payment Mail the check to:Excellent Adventures619 W. Pine StreetLodi, CA 95240 Adventure Registration Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxE-Mail* Select Trip Location:*Select OneAlaskaBajaBelizeGolden Trout Pack TripIsla BlancaKlamath RiverKelsey Bass RanchLower SacPesca MayaPicacho Lodge ChileRogue River - SteelheadShadTrinity RiverTrip Date Date Format: MM slash DD slash YYYY (only applicable for Kelsey Bass Ranch & Shad)How would you prefer to pay?DepositPay in fullFor Excellent Adventures Patrons Personal Information: (We need this information to make sure you are properly accommodated during the adventure.)Sex*AgeAny physical conditions we should be aware of?*YesNoPlease elaborate on any physical conditions (include allergies, asthma, heart problems)*Do you have accessibility needs?YesNoIf yes, please elaborate:*Any food restrictions?YesNoIf yes, please elaborate:* This iframe contains the logic required to handle Ajax powered Gravity Forms.