Trip Application

PLEASE DO NOT FILL THIS OUT UNLESS YOU HAVE MADE A PAYMENT AND HAVE YOUR AIRLINE RESERVATIONS. We need to receive this application at least 3 weeks prior to your departure so we have time to ask you any questions before sending the information to Mexico. You are not confirmed on a trip unless we've received a deposit or payment in full (60 days or less before the trip). If you have any questions call us at 800-355-7140 or 406-522-7596.

Trip Title:
Trip Date:

Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone
Occupation (required for our Mexican reports)
Passport No.
Fax
Email
Date of Birth
Sex
M
Height
Weight
Emergency Contact
Relationship
Evening Phone
Daytime Phone
Will you be sharing accomodation with someone?
Hotel Room: Yes No
Bed: Yes No
Tent: Yes No
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?
Yes No
Please check the following meats you will NOT eat during this trip:
Beef
Fish
Poultry
Shellfish
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):
Low
Moderate
High
Rate your previous camping experience:
None
Novice
Moderate
Extensive
Do you have previous boating experience?:
Yes No
Please briefly describe any previous kayaking or canoeing experience
Flight Arrival in Baja:
Date City
Time
Airline & Flight #
Flight Departure:

Date
Time
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.
  • 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.

Please check your size:
MEN
XS SM MED
LRG XL

WOMEN
5/6 7/8 9/10
11/12 13/14
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.
(Required)
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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