Print out these forms, fill them out, and mail them with your deposit to the address below. Do not try to fill out these forms online...it won't happen!

Call of the Wild, 2519 Cedar Street, Berkeley, CA 94708

Phone: 510.849.9292
Toll-free outside California: 888.378.1978
Fax: 510.644.3811
E-mail: trips@callwild.net
Home URL: http://www.callwild.net
 

TRIP APPLICATION

Name:
Address:
Mailing label #(if available): Occupation:
Day Phone: Evening Phone
E-mail: Fax:
In case of emergency, please notify (name, address, telephone number):
For international trips, Passport Number:
Name as it appears on Passport (if different from above):
Issue date: Expiration date:
Place of issue: Citizenship:
Date of birth: Place of birth:
 
My deposit check is enclosed for $
I would like to go on the following trip(s):
I will attend the pretrip class on (date):
My exercise habits are: (please be specific; give number of times per week, mileage, type of activity, etc.)

Rate yourself in your ability to hike wilderness trails. Remember that this terrain may be uneven, steep, and rocky as compared with city sidewalks or groomed paths in a park. Circle one:

—Level 1: No wilderness hiking experience
—Level 2: Fair; limited dayhiking experience on wilderness trails
—Level 3: Good; experienced and comfortable hiking on rocky trails, with light daypack
—Level 4: Good; beginning backpacker
—Level 5: Very Good; competent backpacker on rocky trails
—Level 6: Excellent; experienced carrying a backpack cross-country, adept on talus and scree
—Level 7: Guide Level; can boulder-hop carrying backpack and move quickly across talus and scree

Give your outdoor experience. Circle applicable activities:

backpacking / hiking / skiing / camping / climbing / kayaking

Other, specify:

 

What is your swimming ability? Circle one:

—Non-swimmer: can't swim
—Basic: can float, swim continuously for up to 20 minutes
—Proficient: don't swim regularly, but can swim continuously for 20 minutes or more
—Strong: competitive swimmer; or swim laps regularly for exercise

When was your last long hiking or backpacking trip? Give year and number of miles.
Please previous (or the last few) Call of the Wild trips and year which you attended:
Other comments on your outdoor experience and abilities?
Give your birthdate, height, and weight:
What is your general physical condition?
Do you have any special medical problems or restrictions?

Any allergies, including insect bites and beestings? Yes No

Are you allergic to any medications? Yes No

If yes, specify which medications:

 

List all medications you take on a regular (daily or nearly daily) basis. Include all medications, even aspirin, ibuprofen, and vitamins such as C or E. If you take no regular medications, write NONE.

Name of Medication Dosage (amt/freq) Side Effects or Restrictions
     
     
     
     
     
     
     
     
     

 

List any medical complaints or conditions. Include any history of knee, hip, ankle, shoulder, arm or back injuries (including sprains); heat stroke; AMS (acute mountain sickness); asthma; cardiac problems; any other injuries or illnesses.

Do you have any other conditions that could affect your participation on this trip?
Yes No

If yes, please describe:

Call of the Wild does not provide transportation, but whenever possible we facilitate carpooling and sharing car rentals. We suggest that passengers share gas costs, except for the person(s) providing the car.
Would you like to provide a car or share a car rental?
If yes, give make of car and model.
 

FOOD QUESTIONNAIRE

 
Please take a few minutes to answer the following questions about your diet. This information will guide us in menu planning and figuring amounts of food for your trip.
 
What beverage do you drink in the morning?
How many cups? with sugar? with milk?
Do you eat or drink the following (Circle as applicable):
Beef? / yes / no / sometimes / Pork? /yes /no /sometimes /
Fish? / yes / no /sometimes / Beer? / yes / no / sometimes /
Lamb? / yes / no / sometimes / Wine? / yes / no / sometimes /
Tofu? / yes / no / sometimes / Liquor? / yes / no / sometimes /
Chicken or poultry? / yes / no / sometimes /
Bacon or sausage? / yes / no / sometimes /
Do you like spicy hot food? / very hot / medium hot / mild / not at all /
Do you like Thai food? Do you like Indian curries?
Do you have any food allergies?
Are there any common foods you don't like?
For private trips only: Are you / female/ male /
Any other comments?

Note: We serve hearty, healthy meals that tend to be higher in carbohydrates and lower in fat. We avoid processed food, but you won't get a strict brown rice and wheat germ regime either. Meals are often vegetarian, yet we serve meat dishes as well—and think there's nothing wrong with an occasional backslide to decadently rich food after a hard day on the trail.

Most people love our food, but we can't please everyone—and we cannot prepare separate meals or bring different provisions for those on special diets. Individuals must take responsibility for their own dietary restrictions and bring their own food.

If you have food allergies, if you are a vegan (total vegetarian), or if you have other particular preferences, we suggest that you call us for the trip menu the week of the trip so that if necessary you can plan your own food to supplement our menu.

 

AGREEMENT TO HOLD CALL OF THE WILD HARMLESS
ASSUMPTION OF ALL RISKS
AUTHORIZATION TO MEDICAL AUTHORITIES

 

I am aware that the activities planned by Call of the Wild entail certain inherent risks and dangers. These include, but are not limited to, the hazards of traveling in mountainous, desert, and other terrain, and they include the risks of injury or illness in remote places, absence of medical facilities, injury by forces of nature, and accidents during transportation by any means.

In consideration of, and as part payment for, the right to participate in such mountain trips and other activities, and the services and provisions provided for me by Call of the Wild, I hereby accept and assume all of the above risks, and I hereby release from liability and agree to hold harmless Call of the Wild and its owners, leaders, guides, agents, and employees for any claims, liability and loss and causes of action which I now have or which may arise in the future as a result of my participation in any Outdoor Woman's School/Call of the Wild activity. This release is to be binding on me, my heirs, executors, and all members of my family.

I hereby authorize Call of the Wild and its employees, guides and leaders to take any steps necessary for the administration of emergency medical or dental care and for rescue operations. Call of the Wild is authorized to secure, at my expense and risk, said rescue operations and emergency hospital or medical care or treatment.

I understand that Call of the Wild reserves the right to take photographic or film records of any of their trips, and hereby agree that Call of the Wild may use any such photographic or film records for promotional and/or commercial purpose.

I have read the foregoing application, Hold Harmless Agreement, Assumption of Risk, and Authorization to Medical Authorities as well as the Refunds and Cancellations policy and the current brochure which I acknowledge having received and which forms a part of this agreement, and I understand the full meaning of each, and agree to each.

 
Your Signature:
Date:

CALL OF THE WILD PARTICIPANT AGREEMENT
RELEASE AND ACKNOWLEDGMENT OF RISK

In consideration of the services of Call of the Wild, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "Call of the Wild"), I hereby agree to release and discharge Call of the Wild, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that _________________________________ (please list your trip's activities: camping, hiking, backpacking, and so on) entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: the hazards of traveling in mountainous, desert, and other terrain, and they include the risks of injury or illness in remote places, absence of medical facilities, injury by forces of nature, and accidents during transportation by any means.

Furthermore, Call of the Wild guides have difficult jobs to perform. They seek safety, but they are not infallible. They might be ignorant of a participant's fitness or abilities. They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Call of the Wild from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Call of the Wild's equipment or facilities, including any such Claims which allege negligent acts or omissions of Call of the Wild.

4. Should Call of the Wild or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume—and bear the costs of—all risks that may be created directly or indirectly, by any such condition.

I understand that Call of the Wild reserves the right to take photographic or film records of any of their trips, and hereby agree that Call of the Wild may use any such photographic or film records for promotional and/or commercial purposes.

I hereby authorize Call of the Wild to take any steps necessary for the administration of emergency medical or dental care and for rescue operations. Call of the Wild is authorized to secure, at my expense and risk, said rescue operations and emergency hospital or medical care or treatment.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Call of the Wild on the basis of any claim from which I have released them herein.

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

 
Signature of participant:
Print name:
Address:
Phone:
Date: