Trip Registration Form

Please complete the form below to sign up for you adventure!

Trip you are registering for

Name

As it appears on your passport.

First Name

Last Name

Nickname

Name you prefer to be called.

Phone Number

Please enter your phone number.

(###)

###

####

Passport Information

We need passport information to purchase group tickets for many forms of transportation within our host countries as well as some excursions.

Date of Birth

YYYY

Allergies

List any allergies. For food allergies, please ask us via email if we are able to accommodate before you sign up.

Medical Conditions

List any medical conditions you have.

Food Restrictions

Not all food restrictions can be accommodated on every trip as we can be in very remote areas during the trip. Please ask us via email if we can accommodate your food restriction before you sign up.

Name of an Emergency Conact

First Name

Last Name

Phone Number of Emergency Contact

Country

(###)

###

####

Please check each box to agree.

I agree to the statement below.

I have read the “info sheet” for this trip. I understand the physical requirements and I attest that I will show up physically ready to participate in the activities on the itinerary.

I agree to the statement below.

I have read the “expected attitude” portion of the info sheet. I understand and agree that it is expected that I will positively contribute to the group experience by being inclusive, respectful, and adaptable.

I agree to the statement below.

I understand that I will be out of my comfort zone at times. I attest that I have the emotional and social maturity to handle new experiences that may be physically, culturally, and socially challenging to me. I understand that the group leader may ask me to leave the group at my own expense if I am negatively impacting the group through my words, actions or attitude.

I agree to the statement below.

I understand that deposit is non-refundable and non-transferrable.

Please note that your spot is secure once your deposit has been received.

You will receive an email confirmation that your registration is complete. Thank you! We’re excited to adventure with you!