The Moresby Explorers Ltd.

Tour Registration and Medical Form

Type Of tour *
Tour Start Date *
Tour Start Date
Your Contact Information
Name *
Name
Phone
Phone
Cell
Cell
Address *
Address
Emergency Contact
Name *
Name
Phone Number
Phone Number
Health and Fitness
This information will help us match you to an appropriate trip for your fitness level. Be sure to provide details, and don’t hesitate to contact us if you would like more information. Providing full and accurate information will help our staff ensure that you have a safe and enjoyable trip. Please note that if you do not fully disclose health information, we reserve the right to turn you away from the trip at the last minute.
Date of Birth *
Date of Birth
Sex
Check all that apply *
Check all that apply *
Check all that apply *
I am comfortable climbing over a fallen log that is: *
I am comfortable climbing under a fallen log that is: *
Please give details of past reactions, we will ask about food later.
Do you carry an Epi-pen? *
Dietary Concerns
We make an effort to cater to those with food allergies and special diets, but we cannot guarantee that our kitchen will be 100% trace-free of the food you are allergic to. We can accommodate most dietary restrictions, but may not be able to accommodate very strict or unusual menu plans. Please provide lots of details, and if we have any worries about being able to accommodate you, we will contact you and ask you to bring some of your own food.
Be detailed, for example if you don't like eggs or dairy, will you eat them in baking?