Whistler Bungee Booking Form

Activity Information

Activity Date (DD/MM/YY)
Activity Time
Fall / Winter / Spring
(SEPT 1 - JUNE 14)

Number in Group
FOR GROUPS LARGER THAN 12 PEOPLE PLEASE CALL 604.938.9333  

Guest Information

 
Name
Phone Number
e-mail
Whistler Accomodations
Room Number
Total people needing transport

Activity Billing

 
  Number of jumps/people
First Jump / T-Shirt @ $120
Member Jump
lifetime member after 1st Jump 
@ $50
2 Jumps / T-Shirt @ $160
Spectator Transport @ $10
   

Payment Details

 

 

 

 

LIABILITY WAIVER
All customers are required to fill out a liability waiver prior to bungee jumping.
Customers under the age if 18 must have a parent or guardian
sign the liability waiver prior to bungee jumping.

You may print out the waiver, fill it out and bring it to the bridge.

waiver download >>

 

CANCELLATION POLICY
Customer is entitled to full refund if cancellation is made prior to pick up.
Customer will be charged 50% of the fee
if cancellation is made after pick and drop off at the site.
No refund will be made if customer cancels after being harnessed.

By submitting this form the customer is aware of the cancellation policy.