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The Trip Participant Information form
In order for us to best look out for your safety and health, and
to provide you with the best possible adventure, we need to know
as much as possible about your physical condition.
Please take a few minutes to provide us with this information:
Name:
Email:
Age:
Height:
Weight:
Medications:
Allergies:
Any Dietary Restrictions:
Any physical conditions or limitations:
Anything else you feel we should know:
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Please send the above information to:
Contact Information:
Telephone: SKYPE ACCOUNT: JLUNCR
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Mailing Address:
Alto Quepos Real Estate
in front of the red cross
San Marcos de Tarrazu
San Jose
Costa Rica 8055
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Email: info@altoquepos.com
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