Personal Information Form

Dates of Trip

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

We want this to be a positive experience for you. We will do our best to accommodate to the best of our abilities. To help us with roommate assignments, meals and supporting your overall well-being please complete the following form.

Sleep (please check all that apply to you)

Dietary (please check all that apply to you)

VegetarianGluten Free*VeganOther

* Gluten free items are not always readily available. You may be asked to bring some of your own gluten free items.

How do you recharge?

Do you get motion sickness?

NoYes

Are you sensitive to smells?

NoYes

Our days are long, hot, potentially physically and emotionally draining. Many of the people we work with have experienced challenging circumstances. This could be triggering for some people. Please let us know at any time if you need additional support or adjustments made to the tasks or projects you are assigned.

Trip Participant Personal Information