First and Last Name
Activity / Date
If you require transportation, what is your pick-up location?
Name of Emergency Contact
Relation to Participant
Contact Phone Number
Additional Contact Phone Number
I have read, signed, and returned the release of liability and cancellation policy prior to the departure of my trip.
Rifle Climbing Guides accepts cash, check, and credit card. If you are paying by cash or credit card, we will call you to arrange payment details once we receive this completed form. If you are paying by check, please mail to the below address:
Rifle Climbing Guides
110 East 3rd Street
Rifle, CO 81650
110 East 3rd ST. #211, Rifle, Colorado 81650
Cancellation and Reservations Policies »
Liability Waiver »
Travel Insurance »