Envoyez vos informations personnelles – Trekking

Personal details

FemininMasculin

Contact Details

Medical info

Do you have travel insurance that includes trekking?
—Veuillez choisir une option—yes, I have all includedI am not sureI would like a temporary insurance
Any food restriction?
yesno
Any allergy, disease or medication we should know?
yesno
Bee allergy?
yesno
Do you swim well?
yesno
Do you know CPR techniques?
yesno
Knee problems ?
yesno
Afraid of heights?
yesno

Extra medical info:

Experience and sport

Do you practice sports?
—Veuillez choisir une option—less than once per weekonce per weekmore than once per week

Your experience with multiple day hiking?
—Veuillez choisir une option—beginner, I never did a trekkingexperienced, I did once a trekkingvery experienced, I did many trekkings

Extra info:

Travel details

Did you buy your bus/airplane tickets yet?
—Veuillez choisir une option—yesno, but I will do it as soon as possible
If you do not know this information yet, please send us afterwards.

Are you planning to take the bus in Salvador at 23:30 and arrive at 04:30 am in the dark?
We really can NOT recommend it, because maybe you will only sleep for 3 hours.
It requires more planning and attention, please be careful. If possible you can still change your bus tickets.

Your Arrival date and time in Lençóis:

—Veuillez choisir une option—13:0019:0023:0004:30by carby airplane

Name pousada or hostel :

If you don't know yet, please check out our place:
Casa Bam Búrrio, a nice and spacious room for an affordable price.

What do to do with your baggage?
—Veuillez choisir une option—I will store it in my pousada because I will go back thereI want you to store my baggage in a safe place in LençóisI did not book a pousada yet, so I will keep you informed

Estimated arrival time after trekking in Lençóis:
around 19:00 (2 and 3 trekking )
around 16:00 ( 4 day trekking )

Your departure date from Lençois:

Your Pousada or hostel after the trekking:

After the trekking, I am planning to take the night bus (23:30)
—Veuillez choisir une option—I would like to take a shower for R$10 per personI don't know yet

I am interested in a massage after the trekking. (1 hour with hot stones, R$ 120,00 )
—Veuillez choisir une option—yesnomaybe

I will try to send the signed document "declaration of awareness" as soon as possible.( see below )
I have read the document "cancellation policy" ( see below )
I confirm I will have the necessary equipment as described in the email from Diamantina Mountains.
*Contact us if you are in Brazil yet and have problems to get the right equipment, we can help you out.
** Not having the equipment can mean you can not participate the tour or trekking. Especially inappropriate shoes is dangerous for yourself and for the guide.

12+8=?

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