Please  complete the information, copy—paste it and e-mail  to:

edgardo@bajasierradventures.com



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Person(s) Name(s):

 

 

Date(s) of birth:

 

 

Height(s):  

Weight(s):  

 

 

What trip are you booking for?

 

 

Day:

Month:

 

 

Where do you live?

 

 

State:

Country:

 

 

Occupation(s):

 

 

Telephone number:

Email address:

 

 

Medical needs/allergies:

 

 

Dietary requirements:

 

 

How is your phisical condition?

How much camping experience do you have?

 

 

Name of the hotel you'll be staying at prior to the trip departure:

 

How did you hear about BSA?

 

 

Would you like to add any comments or questions?