Register For Your Winter AdventureWinter Adventure Registration Form"*" indicates required fields Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary Phone*Can enter US or any other country phone numberTraveling Phone (if different than primary phone)Can enter US or any other country phone #Upon receipt of your reservation and down payment we send out your confirmation packet. This packet verifies your reservation details (including the lodge for the trip), provides packing information, and includes directions to our kennel. There is a two‐sided form that must be completed and returned prior to your trip. The Active Sports Warning and Disclaimer is on one the side, and the Participant Information Form is on the other. Please indicate here your food preferences, rental clothing needs, and general state of health. This will insure we can best outfit you for your trip.First Trip Choice*Yurt EscapeTandem Yurt TripPremier Yurt Adventure – Mushing SoloWinter OdysseyClassic Lodge PackageWhispering Pines Premium PackageTandem Day TripSolo Day Trip3/4 Day TripHalf Day TripFirst Date* MM slash DD slash YYYY Second Trip Choice: (On occasion the first trip option is already filled. Let us know what your second choice would be)Yurt EscapeTandem Yurt TripPremier Yurt Adventure – Mushing SoloWinter OdysseyClassic Lodge PackageWhispering Pines Premium PackageTandem Day TripSolo Day Trip3/4 Day TripHalf Day TripSecond Date MM slash DD slash YYYY Additional Adults Add RemovePlease insert the first and last name(s) of the additional individuals.Children and their ages Add RemovePlease insert the first and last name(s) of the children, and their respective ages. Minimum age is 8.Food Allergies & Sensitivities: Check any foods you WILL NOT eat: Pork Other red meat Poultry Fish Eggs Milk / Cheese Other:Any additional info we should know about your food allergies and sensitivities?Questions or CommentsTrip DepositA deposit of $100 per person is required when you make your reservation. The balance is due 30 prior to the start of your trip. All prices are subject to Minnesota sales tax. If you need to cancel your trip 30 days or more before the start of the trip, you can apply the $100 deposit to one of our trips within the next year.Payment Type* Check is in the Mail: Mail to White Wilderness PO Box 727 Ely MN 55731 Credit CardTrip Deposit* Single Day $100 per person Multi Day $200 per personThe deposit rate is based on per person and if the trip is single-day or multi-day. Single Day is $100 per person Multi-Day is $200 per personTotal Number of People*Please enter a number from 1 to 24.Calculate Your TotalThis is the total amount owed for the Trip Deposit only To view the total deposit required for your group, make sure you have either the Single day or Multi-Day selected and the total number of people entered and then use your mouse or touch screen to click on the ‘Calculate Your Total’ link directly above.Credit Card*Card Details Cardholder NameBy submitting this form, you are agreeing to the policies of White Wilderness. I have read and understand the Policies of White WildernessTo see the Policies of White Wilderness, Click Here. Thank You for choosing White Wilderness!CAPTCHAEmailThis field is for validation purposes and should be left unchanged.