To Register Your Group:

 

  1. Determine your Deposit amount and select method of payment (cheque/credit card). Deposits are non-refundable.
    $100 – Day Trip $250 – Overnight $500 – Overnight with Meals
  2. Fill out this form completely
  3. SUBMIT using button on bottom of page
  4. If you DID NOT provide a credit card number to process the required deposit we will send an invoice requesting payment by cheque payable to ISLAND PACIFIC ADVENTURES LTD. Your date is not guaranteed until we receive your deposit.

Fields with * are required

Credit Card: Visa
MasterCard
Credit Card #: Expiry Date:

CONTACT INFO

School Name: Contact Name:*
Email Address:* School Phone:*
Fax number: Cell Phone:*
Mailing Address: City:
Province/State: Postal/Zip Code:

I Would Like To Register My Group

How Many Students?:* How many Teachers/Adults?*
Grade: Students Age:
In The Following Activities
3 Day “Explorer” Package Custom Program ( Days)
Group Tenting (you supply tents) Shelter Wall Tents (we supply)
Catered Meals Cave Geology Program
Rock Rappelling Team Building
Wilderness Survivor Canoeing
Horne Lake Amazing Race Learn To Fish Program
Learn To Camp Program Group Games
Deep Bay Marine Science Sleep With The Fish
Date Selection
First Choice:* Second Choice:
Third Choice:
Estimated Arrival Time:* Estimated Departure Time:*
Comments:

Please insert the letters and numbers you see here into the box to the right:*

NEXT: Print out the Information Package (5 pages) including the Parental Consent / Med Info Form

For general inquiries call (250) 703-6051 and ask to speak with the Group Coordinator.

FAST MAIL: info@hornelake.com
SLOW MAIL: Box 3531 Courtenay, B.C. Canada  V9N 6Z8

Cheques must be made payable to: ISLAND PACIFIC ADVENTURES LTD.