(required for our Mexican reports)
Date of Birth
Will you be sharing accomodation with someone?
Name of Companion
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.
Do you smoke?
Please check the following meats you will
NOT eat during this trip:
Describe any other dietary restrictions or food allergies
Describe any allergies to medications or insects
Describe any pre-existing medical conditions that might affect your full participation in any activities on this trip (such as epilepsy, diabetes, high blood pressure, heart conditions, etc.)
Describe any accidents or operations you have had that might affect your participation on this trip (such as back surgery, knee, shoulder or wrist problems)
List any medications you take regularly or that you will
bring on the trip:
Rate your fitness (strength and stamina):
Rate your previous camping experience:
Do you have previous boating experience?:
Please briefly describe any previous kayaking or canoeing experience
Flight Arrival in Baja:
Airline & Flight #
Airline & Flight #
If you are not going directly from your flight arrival to your hotel in Baja, please call our office (1-800-355-7140) and let us know when to expect you. And if you are flying into Cabo, please let us know what time to expect you at Posada LunaSol (if you are staying there).
I need to rent the following equipment (please check)
Sleeping bag & Thermarest pad ($20)
Sleeping bag only ($15)
Thermarest pad only ($15)
Snorkeling gear - mask, snorkel and fins ($15)
Fins only ($10)
Mask & Snorkel only ($10)
Shorty 3 millimeter wet suit ($15)
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.
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.
Please check your size:
Mask Size (please enter small, medium, large or extra large)
Shoe size (only if you are renting fins)
How did you hear about us?
Please read the following waiver and enter "yes"
to acknowledge you have read it and accept it. Your signature
on a hard copy of this waiver is required to participate on our
trip. You will be asked to sign the waiver in La Paz or Loreto
prior to your trip departure.
Printable Waiver(.html version)
I have read and accepted the Waiver.
Please enter "Yes" if you accept
Thank you for filling out the form. When you hit submit it will be emailed to us and we will contact you if we have any questions.
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