Registration

 
For online payment and instant confirmation, please click on: Book Now
Destination
Program Dates

First Name *   Middle Name *
Last Name *   Date of Birth     Age *   
Gender*   Address *
City *   Phone (R) *
Phone (O)   Mobile 1 *
(For SMS Updates)
Mobile 2 *
(Parent's Mobile)
  Mobile 3
(Participant's Number)
Email *   School / College Name
Blood Group  
 
Note: It is very important for the participants to go through the programme details. If the participant is under any medication or has any allergies, please provide such details to us. Any specific characteristics like night walking, phobias etc. should be mentioned in the space below.

Remarks:
Do you receive our brochure regularly? Yes No
I have read and agree to the Terms & Conditions.
Declaration

I would like to enroll myself / my ward to participate in the nature / adventure camp organized by you. I am aware of the risks inherent in the camp involving adventure sports / activities during the programme as well as travelling organized and conducted by ANALA OUTDOORS PVT. LTD. and their agents.

I hereby state that I / my ward is participating in these adventure sports / activities of my own free will and consent, and understand and agree that ANALA OUTDOORS PVT. LTD. and their agents take all necessary precautions to minimize the risk and avoid any accidents and ensure safe participation in these adventure sports / activities and are not responsible for any mishaps that may occur while participating.

I have read the above statement and fully understand its contents. I realize and agree that the same serves as an agreement of release and assumption of risk on myself.

I declare that the terms and conditions mentioned overleaf have been explained & interpreted to me in my vernacular language and agree to abide by them. I realize and agree that the same serves as an agreement of release and assumption of risk on myself.