Researcher Information Packet UWL.pdf

RESEARCHER INFORMATIONAL

PACKET

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This information is confidential and will be shared only as needed with

trip leaders.

This informational form provides us with information required for expedition management

and emergency situations. Please complete fully so our guides and program managers

can adjust activities as needed to meet your needs and manage your participation as

well as the participation of others in the group.

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Global Treks Expedition (provide name and dates of trip): _______________________

Participant Information (Required)

Name: Phone #:

Address: Date of Birth:

Preferred Name (if differs from legal name above): _____________________________

Email Address: ________________________________________________

Emergency Contact Information (Required)

Name: Phone #:

Address: Relationship to Participant:

Height ______ Weight ______

Preferred T - Shirt Size (Mens and Women’s XS - XXL sizing available): ____________

Client Information and Medical History Form

Global Treks and Adventures, LLC