Evolve Escapes

Guest Information Form

This is how we look after you. It covers your food, your safety and your transfers. It takes about two minutes.

Full Name *

Email Address *

Mobile Number *

Date of Birth *

Emergency Contact Name *

Emergency Contact Number *

Relationship to Emergency Contact *

Food allergies *

Food intolerances / foods to avoid *

I understand the above declaration of food allergies and intolerances is the only information I have given, and Evolve Escapes will not be held liable for any information I did not disclose at this time *

Yes

Medical or health conditions *

Medication relevant in an emergency *

Injuries, pain, mobility restrictions or physical limitations *

Flight number *

Photography consent *

I am happy to appear in photos and videos

I would prefer not to appear in photos and videos

Anything else the team should know *

DECLARATION

Please confirm all three *

I confirm that all information provided is accurate to the best of my knowledge

I understand that my personal, medical and dietary information will be stored securely and used only for retreat safety, wellbeing and operational purposes.

I understand it is my responsibility to inform the retreat organisers of any changes to my health, allergies or dietary requirements before arrival.

I confirm I have taken out my own individual travel insurance that includes cover for activities included on the itinerary and I understand that failure to have your own travel insurance will result in cancellation of my trip

I confirm

I do not confirm

Signed Date