Castle View Balloons Online Order Form

Please provide the following information:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

Cell Phone

E-mail

	If the number in your party is fewer than 5 you may be paired with other passengers.
	Parties larger than 5 can be accommodated with a multi-balloon launch.
	If the number in your party is 1 or 2, you can order a Private Excursion for $625. Due to heavy weekend volume during foliage season, private excursions are limited to weekday flights only during the month of October.

Number in party:

Is this a private excursion for one or two individuals ($625)?

Private Excursion

Estimated combined weight of party:

lbs

Preferred flight date(s):

Additional passenger name(s):

Please tell us how you heard of us:

I understand that hot air ballooning can be unpredictable and, under certain circumstances, a hazardous activity; that during my participation in a hot air balloon flight I will be exposed to above-normal risks; that although the pilot has taken precautions and performs safety checks before each flight, it is impossible to guarantee absolute safety; that I share the responsibility for safety in flight and have chosen to take part in this activity with these facts in mind. I state that I have no physical or other handicaps that would prevent me from safely participating in this activity and I agree to comply with the instructions of the pilot during the flight. I also understand that I forfeit any funds paid if I cancel the reservation within 9 (nine) days of the flight or do not appear at flight time at the designated launch site. I agree to supply Castle View Balloons with a telephone number where I can be reached on the day of the flight in case weather conditions force rescheduling.

I have read and agree to above terms.

Last Updated: 01/08/2006