Custom ESCAPE Request Form

In case we need to contact you in the day or two prior to your ESCAPE with us, please tell us your cell phone number and/or the name of your lodging/accommodation and their phone number: *

Date(s) of your ESCAPE if you've made arrangements with guide. Otherwise, please give us 2 or 3 dates that will work for you and we'll check guide availability. *

What are you mainly seeking? *

Custom ESCAPE (Use this to tweak any listing or to totally create a new adventure for an individual, family, group program, or step-on guide service.) Day Trip (See page listings and state name below--includes S.U.V. Tours such as sightseeing, moose, and photo tours.) Multi-Day Trip: Basecamp Adventure (See page listings and state name below.) Multi-Day Trip: Wilderness Expedition (See page listings and state name below.) Multi-Day Trip: Inn to Inn Tour (See page listings and state name below.)

IMPORTANT: Name of your ESCAPE (exact listing found on website, or "Custom ESCAPE: (create your own name)" *

What are your specific individual/group goals for participating? (i.e. leisure tour, build my skills with a private lesson, how to communicate with my canoe partner, family adventure, learn camp cooking, join a group to socialize, teambuilding with co-workers, etc.) *

What fitness rating are you seeking? *

Gentle: you should be able to walk, ski, peddle, or paddle at a relaxed pace for a few hours at a time, and the activity level can be tailored somewhat to meet the needs of the group. Moderate: you should feel comfortable being active for a solid chunk of the day, moving at a steady yet sustainable pace. Vigorous: expect to be active all day long, with some periods of moderately aerobic exertion and some time moving at a strong but not Very Vigorous: expect a solid level of aerobic intensity throughout the day.

Please list the number of breakfasts, lunches, and suppers that you would like included. Write, "As listed" if meals are included on a trip listing. If you don't want any meals included, please state "None." *

Interested in a carless adventure? We can arrange transportation from airports, train stations, bus terminals, and accommodations in New Hampshire. Please state your needs below. *

Yes No Maybe

Is there anything else that your guide should know about when planning your trip, such as physical limitations, allergies (food or environmental), dietary restrictions, phobias, group budget, time constraints, transportation issues? *

Payment is done separately and payment information can be found on our Booking Info page, but please let us know which method you are using so we know what to expect from you: *

Card (accept: Visa, Mastercard, American Express, Discover, and Diners Club payments from customers worldwide.) Cash (if arranged with guide) Check (U.S. only--personal, organization, business) Other (describe below)

IMPORTANT: By submitting this form, it is understood that I have provided accurate information regarding this reservation and that I have read, understand, and agree to the Policies & Procedures of Outdoor ESCAPES New Hampshire, LLC found on the Booking Info page of our website.

Custom ESCAPE Request Form (5-15 minutes to complete)Tell us what you want, and we'll arrange everything for your N.H. experience.

Custom ESCAPE Request Form (5-15 minutes to complete)
Tell us what you want, and we'll arrange everything for your N.H. experience.