FingerLakes Kayak & Yoga | Summer 2019
Algonquin Day Hike
Long Distance Trips
A Grand Adventure, July 31-August 6, 2019
Please download and sign the Release of Liability and Medical Screening forms. Return to me, either via email (
) or in person on day one of our trip. These forms are required for ALL participants.
Tell us who you are!
Indicates required field
Select your Adventure
None available at this time
Your Fitness and Medical Info
Your outdoor experience
I've never spent time in the great outdoors
I'm moderately comfortable with the activities offered on this trip
I'm a seasoned outdoorsman or outdoorswoman
Please describe your level of outdoor experience so that we can ensure your trip is appropriate and enjoyable for you!
Health Insurance Provider
Health Insurance Policy Number
Do you have any of the following health concerns?
High blood pressure or heart disease
Previous heart surgery
Epi-pen or similar
Allergies (plants, food, seasonal, medicine, animals / bugs)
Muscle or joint pain
Previous muscle or joint injury / surgery
Any not listed (please describe in detail)
If any of the following apply to you, please give a detailed description in the comments section below
If you answered yes to any of the above, please describe
My Blood Type Is
Do you have any special dietary needs?
Any genre, period, or artist. No profanity please!
Please select the gear you need
N/A - I have my own appropriate gear
I don't have ANY outdoor gear
Warm Layers (synthetic or down - like a puffy down jacket)
Waterproof outer layers (Goretex or similar)
How tall are you?
What is your weight?
What is your shoe size?
Please list your three favorite songs (optional)
Any genre, artist, period. We'll have an eclectic playlist for the trip! Please no profanity or offensive content.
Payment. This trip costs (***$TBD based on the trip***) per person. All payments are processed securely through PayPal.
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