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El Paseo LLama ExpeditionsPlease print clearly
& legibly. Please
READ & follow the Registration Instructions completely. DATE:___________ CONTACT PERSON: Name: _________________________________________________________ Age: _______Gender:_________ Address(Street, City, State & Zip):__________________________________________________Apt.#_________ Phone: Work: ____________________ Home: _______________________e-mail:______________________ How did you hear of El Paseo LLama Expeditions? ____________________________________________ COMPLETE THE FOLLOWING FOR EACH ADDITIONAL MEMBER OF YOUR PARTY. Second person: ______________________________________________Age: ________Gender:______ Address:_______________________________________________________________________ Third person: ________________________________________________ Age: ________Gender:______ Address:________________________________________________________________________ Fourth person: ________________________________________________ Age: ________ Gender:______ Address:________________________________________________________________________ Fifth person: _________________________________________________ Age: ________ Gender:_______ Address:_________________________________________________________________________ Sixth person: __________________________________________________ Age:________ Gender:_______ Address:_________________________________________________________________________ Seventh person: _______________________________________________ Age:________ Gender:_______ Address:_________________________________________________________________________ Eight Person: _________________________________________________ Age: ________ Gender:_______ Address:_________________________________________________________________________ 1.________________________________ 2._______________________________ El Paseo Llama Expeditions wants you to have the safest most enjoyable trek possible. Accurate and complete answers to the following questions will help ensure that happens. HIKING & CAMPING EXPERIENCE: List experience for each participant from 0 (never been in a tent the woods) to 10 (expert). 1stperson______2nd______3rd______4th______5th______6th______7th______ 8th_____ HIGH ALTITUDE EXPERIENCE: List the highest altitude in feet each participant has had hiking experience, for example 10,000ft. write 10K &14,500ft. write 14.5K, etc. 1stperson________2nd________3rd________4th________5th________6th________7th________ 8th_______ ATHLETIC LEVEL: Estimate for each participant from 0 (couch potato), 2 or 3 (average person, not much exercise), 4 or 5 (some exercise like a long walk once in a while, or just started exercising), 6 or 7 (long term & current active exerciser), 8 or 9 (athlete) or 10 (marathon runner, super athlete). Accuracy here will ensure your trek is neither too easy or too strenuous. 1stperson______2nd______3rd______4th______5th______6th______7th_______8th______ PARTICIPANTS LEAD A LLAMA. It is easy, fun and a wonderful part of the experience. You will lead a llama unless there is a compelling reason not to. Place an "N" if you cannot lead a llama and we will discuss it. 1stperson______2nd______3rd______4th______5th______6th______7th_______8th_______ HEALTH AND PHYSICAL CONDITION: List any and all
physical conditions that would affect your ability to hike at altitudes up to 13,161 ft.
These include any knee, foot, leg,
respiratory , cardiac and weight conditions. If you have any questions or doubts, consult your physician. Inform your doctor of your expedition plans. Also list
all allergies, all dietary restrictions
(for any reason),
all current medications,
all handicaps & phobias. DO NOT OMIT ANYTHING
THAT IS RELEVANT ...this is for your benefit and will help ensure your comfort
and enjoyment while trekking in the wilderness. 1st person:_____________________________________________________________________ 2nd:__________________________________________________________________________ 3rd:___________________________________________________________________________ 4th:___________________________________________________________________________ 5th:___________________________________________________________________________ 6th:__________________________________________________________________________ 7th:__________________________________________________________________________ 8th:__________________________________________________________________________ SLEEPING BAGS: Sleeping bag rentals are $8.00 per bag per night ( $32.00 +tax maximum per bag per expedition). The bags are modified mummy style rated at 20oF. Would you like to rent one (Y/N)? See sleeping bag requirements for details. 1stperson______2nd______3rd______4th______5th_______6th_______7th_______8th_______ I have read the web site and I fully understand and accept the terms and conditions and all information concerning physical fitness, weather, clothing, camping, altitude, safety rules and all other pertinent information stated therein and I know what to expect on a llama trek. I have answered all questions accurately and completely and have included all relevant information. I am now ready for a great time. SIGNATURES: 1st person:______________________________________________________ Date:______________ 2nd:___________________________________________________________ Date:______________ 3rd:____________________________________________________________ Date:______________ 4th:____________________________________________________________ Date:______________ 5th:____________________________________________________________ Date:______________ 6th:____________________________________________________________ Date:______________ 7th:____________________________________________________________Date:______________ 8th:____________________________________________________________Date:______________ A PARENT OR GUARDIAN MUST SIGN FOR ALL MINORS |
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