this site, or e-mail us for a copy to be sent to you.
Complete the registration form and mail it
Green Valley Bicycle Adventures
27B Riverside Drive East, Elmira, Ontario
Phone: 519-669-9067 Fax:
Please ensure that you have included
your Payment and Signed Waiver.
Age _____ Gender: M___ F___
Postal Code/Zip Code________________
Phone - Home ( )
__________________________ Business ( )__________________
Fax or E-mail address_______________________________________________________
Tour name____________________________Guide Hours
$20 X_______ Date________________________
Full payment is required for
all tours. All tour prices are shown in Canadian dollars. VISA,
Travellers Cheques, cash or personal cheques payable to GREEN
VALLEY BICYCLE ADVENTURES.
Confirmation will be sent upon
receipt of registration and payment.
Visa # ______________________________________CardholderName____________________________
Expiry Date ________
For cancellations 14 days to
3 days prior to tour date, there is a penalty of 15% of total guide cost.
48 hours or less, there
is a penalty of 100% of total guide cost.
GVBA reserves the right to
cancel a tour. In this case, payments will be fully refundable, or
you can select a future date.
ALL PARTICIPANTS WILL HAVE
THEIR OWN BICYCLE IN GOOD WORKING CONDITION,
AND WEAR AN APPROVED PROPER
I acknowledge that I am aware
of risks to my person and to my property by accident, injury or otherwise
in participating in this tour. I hereby release Green Valley Bicycle
Adventures, its employees, representatives and agents from any liability
whatsoever arising from my participation in this tour. I hereby hold
harmless Green Valley Bicycle Adventures from any liability if I sustain
any injury while in the care of any third party. It is my responsibility
to make sure that I have adequate medical coverage and I will assume all
costs incurred for emergency services.
(minimum Guide service is 2 hours or $40)
Do you bicycle ____ once a week?
____ once a month? ____ once a
year?(Please check one)
Please print your name.
Please ensure that each rider
in your group submits a completed registration form.
Please advise any medical conditions
and allergies ________________________________________________________
In case of emergency, please contact:
Phone ( )___________________ Relationship_____________
How did you learn about Green Valley
Bicycle Adventures?(Please check one)advertisement ________
website _______ brochure
________ friend ________ other __________