Guest QUESTIONNAIRE

Thank you for choosing Nate's Rogue Adventures to lead your upcoming adventure on the river! Please answer the following questions so we can get to know you better while customizing your experience! If you are traveling as a group, each individual should complete a questionnaire. After you complete our questionnaire just hit submit & we'll do the rest!

Name

First Name

Last Name

Trip Date

YYYY

Birthday

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name & Phone Number:

Age

Height

Weight

Pant Size

Coat Size

Special Occasion

Please let us know if you or someone in your group will be celebrating a birthday, anniversary, or any other special occasion. We want to make your trip as memorable and special as possible!

Any Dietary restrictions or preferences?

Any specific food allergies?

What are some of your favorite foods?

Will you be bringing?

We will provide coffee, tea, water, and non alcoholic drink options. Please note that no glass is permitted on the river.

Medical History

Due to this trip being held in a remote location, please disclose any/all information regarding your past/current health status so we can help you prepare for your trip.Please list any physical conditions/limitations that you experience (Allergies, asthma, heart or back problems, pregnancy, anaphylactic shock, diabetes, etc. Please detail below:

Please list any medications you are currently taking:

Any previous white water experience?

Comfort level in the water?

What has been your favorite rafting trip to date and why?

Do you have any additional comments/questions/concerns about your trip?

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