Hunterdon Ballooning Inc Reservation Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please answer each question.

Email *

First Name *

Last Name *

Address *

City *

State *

Zip *

Main phone (home or cell)

Secondary phone

Emergency Contact Name and Phone *

Gift Certificate?

*Gift certificates and receipts will be e-mailed to the email you listed above. Please include complete address and recipient information.

I would like to purchase

I would like to redeem

Clear selection

If you would like to purchase a gift certificate please write below what you would like the certificate to say. For Example: To: XXX Happy Birthday! From: XXX Please list the date of the celebration such as the birthday, anniversary or wedding date. (Once we get this form we will reach out to you and send you an invoice. Once the invoice is paid we will email you the certificate)

Gift certificate Number (if redeem above)

Flight Date (First Choice)

YYYY

Flight Date (Second Choice)

YYYY

Best time(s) of day?

Morning Flight (Meets 15 minutes before sunrise)

Afternoon Flight (Meets 2 hours before sunset) *Not available November 1- March 31

Clear selection

Number of passengers *

Passenger #1 Name, Age, Weight

All three are required

Passenger #2 Name, Age, Weight

All three are required

Passenger #3 Name, Age, Weight

All three are required

Passenger #4 Name, Age, Weight

All three are required

Can everyone on the flight stand for three hours? *

Yes

Does any passenger have any medical issues or recent surgeries? *

Can everyone climb into the basket which is at least 3 feet tall? *

Yes

Is any passenger in a cast, using a cane, or using any assistance to walk? *

Yes

Is any passenger pregnant or have reason to believe they are pregnant? *

Yes

Maybe / Not Sure

Special information we should know:

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms