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Guest Questionnaire

Guest Questionnaire -

Guest form for a Multi-Day Trip Guests

To be filled out by anyone on a Multi-Day Tour with Pangaea Adventures. Day Tour Guests do not need to fill this out.

Fill in One Guest Form for Each Person
Enter email :
Required for response
First Name:
Last Name:
Mailing Address:
City:
State:
Zip Code:
Country:
Home Phone:
(optional)Work Phone:
Tour Name: Choose one only!



Tour Start Date:
Date Of Birth:
 /Day /Year
Height:
 Feet ' Inches "
Weight:
 Lbs.
Foot Size:
 Mens Womens
Occupation:
Emergency Contact Information
Contact Name:
Address:
City:
State:
Zip:
Phone Number:
Other Information:
How will you get to Valdez if trip originates in Valdez? Flying from Anchorage Driving Ferry
Would you like for us to pick you up at the Valdez Airport or Ferry? No Yes pick me up at:
Previous Kayak or Backpack Experience
Previous Pangaea Adventures Trips?
Physical Condition:
 Excellent Good Fair Poor
Describe Regular Physical Activity:
Physical Limitations: This is the most important question to answer. Please list injuries, medical needs, allergies, back problems, sea sickness, etc... We can work around limitations if we know about them. This will help the safety of you and the group.
 Diabetic
Shoulder Injuries/Arm Pain
Heart Condition
Back Pain
Asthma
Allergies
Other: Please explain
Please give us some of you expectations about the trip.
Food Preferences
Please check all that apply I'll Eat Anything and Be Happy!
I Prefer:
Spicy Foods Plain Foods Low Fat Foods
Heavy Creamy Foods Vegetarian Fish O.K.
Chicken O.K. Red Meat O.K. Actually Lots of Red Meat!
No Dairy No Wheat Low Sodium
Do You Drink Coffee?
 No Yes.... Regular Decaf
Please Specify Any Limitations:
Favorite
Non-Alcoholic beverage.
Favorite dish or foods:
Least Favorite foods:
Equipment and Gear Needs (optional at no extra charge)
What will you need from Pangaea? Sleeping Bag Sleeping Pad None-I have my own.
Any other comments or concerns?

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Join Pangaea Adventures for sea kayaking tours in Alaska. Guided trips in Prince William Sound. Sea Kayak Day Tours to famous glaciers like Columbia Glacier. Sea Kayak Camping Tours in Alaska wilderness. Backpacking Wrangell St. Elias National Park. Glacier Day Hikes in the Chugach Mountains. Guided glacier hikes on Worthington Glacier. Water Taxi Valdez.