Participant Form - Mamut trekking - Mamut Trekking Chapada Diamantina

Formulário de Inscrição do Participante

Full Name

Birth date

How Old Are You?

Nationality

Profession / Work

Passport

Phone (WhatsApp)

E-mail

Adress

City / State / Country

Hosting / Lodgging

Height cm

Weight in kg

How often you pratice activities?

Do you know how to swim?

So you use some medicines?

Do you have some allergy?

If yes, wich ones?

Do you have any food restriction?

If yes, wich ones?

Have you undergone medical treatment for any illness and/or surgery in the last three years with medical supervision?

In the last 14 days, have you had contact with anyone confirmed with COVID-19?

If you are female, is there a chance that you may be pregnant?

Do you have any motor difficulties?

Is there any other relevant health information we should be aware of?

Name of Emergency Contact

Grau de parentesco do Contato de Emergência

Emergency Contact's Phone

Terms and Conditions

Accept
Responsability Term
The information above is true, and I assume all responsibilities for its accuracy.
- I assume, of my own free will, all risks involved and their consequences for participating in this event, exempting Mamut Trekking, its organizers and collaborators, FROM ANY AND ALL RESPONSIBILITY for any material, moral or physical damages that I may suffer , arising from participation in this event.
- I declare that I have clarified all my doubts with Mamut Trekking.
- I authorize the use of my image and voice for the purpose of publicizing the event, both virtual and in print.

Observations:

Participants must be over 18 years of age. Participants under 18 must be accompanied by a legal guardian.

Physical fitness is required for steep ascents and descents on rough terrain, crossing rivers and streams, rock climbing, and walking long distances.

Please inform us of any dietary restrictions. Prices are subject to change.

Contact our customer service to confirm the exact price during your stay. *Confirmed reservations will not be subject to price adjustments.