Whistler Bungee Availability Request Form

Once you submit this request, we will contact you by phone
to confirm your requested time slot and secure
your booking with full prepayment.
Please do not hesitate to contact us directly to complete
your booking on 604 938 9333.

Activity Information
Activity Date (DD/MM/YY)
Activity Time ( Fall / Winter / Spring )
Guest Information
Name
Phone Number
e-mail
Whistler Accommodation
Room Number

Activity Billing
	Number of jumps/people
First Jump / T-Shirt	@ $130
Member Jump lifetime member after 1st Jump	@ $80



Payment Details
Pre-payment is required for the booking please phone 604 938 9333 or toll free at 1 877 938 9333 We accept Cash, Visa, Mastercard and American Express

LIABILITY WAIVER All customers are required to fill out a liability waiver prior to bungee jumping. Customers under the age if 19 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 24 hrs prior to booking. - No refund will be made if customer cancels after being harnessed. By submitting this form the customer is aware of the cancellation policy.

Whistler Bungee Availability Request Form

Activity Information

Guest Information

Activity Billing

Payment Details