Participant Application Form

Participant Application Form

Please complete this questionnaire and return it to Big Round World within 30 days. Be as candid as possible with your answers. Each participant, regardless of age, must fill out a separate form.

PO Box 1337, Lyons, CO 80540 USA | contact@bigroundworld.com

Trip Name*

Trip Dates*

mm/dd/yyyy to mm/dd/yyyy

Name (as it appears on your passport)*

Do you have a preferred nickname?

Describe your international travel experience. Do you speak any foreign languages?*

Describe your past hiking and outdoor experience within the past two years. Include when, where, hiking distances and elevation.*

Describe your general physical condition.*

Describe your regular physical activities and exercise program.*

What physical conditioning will you do to prepare for this trip?*

Do you have any dietary restrictions (vegetarian vegan, wheat free etc) ?*

If yes, please describe.

What is (or was, if retired) your occupation?

Accommodations on Big Round World trips are based on double occupancy. Please tell us if you would like a room for sole occupancy and are willing to pay the additional supplement.*

YESNO

Anything else that you would like to share with us?

How did you find out about this trip?*

If a friend or family member recommended this trip to you, please share their full name and contact details so Big Round World can acknowledge and thank them for their help and support.

Signature*

To apply your signature use your finger (touch screen device) or mouse (non-touch screen) to write your name.

Date *

Date

Please verify that you are human*