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Checking off your bucket-list, one trip at a time
All Trips
Sign Up
Trip Reviews
About
Contact
Instagram
0
DOLOMITES 1 FORM
DOLOMITES TRAVEL FORM
Personal Information
Name
*
First Name
Last Name
Birth date:
*
Age:
*
Country:
*
Cell Phone Number (with country code)
*
Emergency
Emergency Contact:
*
First Name
Last Name
Relationship:
*
Contact Number (including country code)
*
Arrival Information
Do you have a valid Schengen Visa?
*
If you do not require a Schengen Visa, please check YES
YES
NO
Date of Arrival to Venice Airport
*
MM
DD
YYYY
Time of Arrival to Venice Airport
*
(please include a.m. or p.m.)
Flight Number
*
Please add Flight Number arriving to Venice Airport
Departure Information
Date of Departure from Venice Airport
*
MM
DD
YYYY
Time of Departure from Venice Airport
*
(please include a.m. or p.m.)
Flight Number
*
Please add Flight Number departing from Venice Airport
Fitness and Medical History
What is your physical fitness level?
*
How often do you exercise and what type of sport you like to practice?
*
Please list previous medical/psychological conditions which may affect your fitness level
*
Do you have any heart related conditions?
*
Please list any medications you are taking
*
Please provide any additional information that may be useful to emergency medical personnel in the event of an emergency
*
Thank you for submitting this form, and we cannot wait to see you in the Dolomites!
