Sea Kayaking Costa Rica’s Survey Form
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Name
*
First
Last
Email Address
*
Email
Confirm Email
Phone Number
Home Address
Age
Sex
Male
Female
Height
Weight
With whom will you share your room?
Are you taking medications which we should know about? (Insulin, heart medicines, antibiotics, etc.)
Do you have any allergies which could cause you problems during the trip? (bee stings, horses, pollen, shellfish, etc.)
Is there any type of food you can do without, or do not eat at all, or more importantly: Do you have any food allergies or dietary restrictions?(nuts/shellfish/etc.)
Are a morning coffee or tea drinker?. If so, how do you take your tea or coffee?
Do you have any physical limitations that could limit your paddling against mild currents, carrying a kayak with two, getting inand out of an average sized sit-inside kayak, hiking (without a pack on your back), swimming, climbing stairs or any other?Normally any physical limitation can be accommodated, if we know about it in advance.
What would you say your sea kayaking experience is (beginner/average/expert)? Would you be ok with paddling 20 Km (12miles) over a period of 5 hours in calm conditions and with 1 or 2 short breaks?
Would you like to paddle a single or tandem kayak? (subject to availability)
Arrival Flight Airline
Arrival Flight Number
Arrival Date & Time
Date
Time
Departure flight airline
Departure flight number
Date & Time scheduled for departure
Date
Time
Passport Number(This is a new legal requirement from the domestic airline.)
Passport Country
Passport Expiration date *NOTE: PASSPORTS ARE MANDATORY FOR ALL AGES AND CANNOT EXPIRE WITHIN 6 MONTHS OF YOUR ARRIVAL DATE OR YOU MAY BE REFUSED ENTRY INTO COSTA RICA OR PANAMA.
Date
Year
EMERGENCY contact name
EMERGENCY contact Phone
Relationship to Emergency Contact
LEGALLY BINDING ELECTRONIC SIGNATURE I, ___________ agree with the Sea Kayaking Costa Rica's Terms & Conditions. (If you are under the age of 21, please have a legal guardian sign.)
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