Trip Title:
Trip Date:
Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone
Occupation (required
for our Mexican reports)
Passport No.
Fax
Email
Date of Birth
Sex
How did you hear about us?
Relationship
Evening Phone
Daytime Phone
Will you be sharing accomodation with
someone?
Hotel Room:
Bed:
Tent:
For those traveling single, please
write none or indicate if you'd like us to try and find
you a roommate of the same sex. If you are traveling single,
a single supplement fee will be applied. All accommodations
are based on double occupancy. Please discuss any other
options other than double occupancy or single supplements
with our US office.
NOT eat
during this trip:
Describe any allergies to medications or insects
Rate your previous camping experience:
Date
Please bring cash to pay for the above
items in Baja.
FOR BAJA COAST TRIPS STARTING
IN LORETO, it is very important that you let us know
your sizes so we can outfit you correctly for lifejackets,
kayaks, wet suits and snorkel gear including fins. THE
GEAR WILL BE BROUGHT UP FROM LA PAZ TO LORETO, SPECIFICALLY
FOR YOU IN THE SIZES INDICATED BELOW, SO PLEASE BE ACCURATE!
For trips originating in La Paz, we will outfit you
in La Paz.
Please keep in mind the following
when choosing your sizes:
Wet suit sizes run large,
so it is better to choose a smaller size if you are
in between sizes.
For Mask sizes, most women
are small or medium and most men are large or extra
large. There can be exceptions if you are a man with
a narrow, small face or a women with a wide, large face
or large nose.
MEN WOMEN
Height
Weight
Shoe size (only if you are renting fins)
Please read the following waiver and write "yes"
to accept it. In Baja, you will be required to sign
the same form before your trip. You do not need to send it to us.
Printable
Waiver(.html version)
I have read and accepted the Waiver.(Required)
