Registration for Naturalist Adventure Tours

JustGetOutdoors Registration Form

REGISTRATION

Please read this form carefully and take the time to fill it out completely. It must be completed in order for you to be considered for this trip. Each person must fill out a separate registration. Thank You!

The following information is held strictly confidential and will be used for our records and to keep our guides informed of any health concerns. Please call or e-mail our office with any additional insights you would like to share, or with any questions.

GENERAL CONTACT INFORMATION
NAME OF THE TRIP
TRIP DATES
YOUR NAME
ADDRESS
CITY
STATE
ZIP
TELEPHONE (HOME)
TELEPHONE (WORK)
TELEPHONE (CELL)
E-MAIL ADDRESS
BEST TIME TO CALL	Morning Evening Night
OCCUPATION
SMOKER / NONSMOKER	Smoker	Non-Smoker
DATE OF BIRTH
SEX
HEIGHT
WEIGHT

*EMERGENCY CONTACT INFORMATION*
NAME
ADDRESS
CITY
STATE
ZIP
TELEPHONE (HOME)
TELEPHONE (WORK)
TELEPHONE (CELL)
RELATIONSHIP
I AM TRAVELING	With a Friend	Alone
I give permission for Just Get Outdoors to give my name and phone number to other participants before the trip departure date.

1. Please be candid about your expectations concerning this trip. Please tell us why you have an interest in taking this trip. Are you fine with group living and the possibility of a changing itinerary?
2. Have you been on a previous guided adventure trip? With whom? Where? When?
3. Describe the extent of your hiking experience (and/or paddling experience –if relevant to this trip) over the past three years. Include frequency and level of difficulty for each relevant activity.
4. Describe your physical fitness level and any physical activity that you do routinely in order to maintain your health. Please include types of activities, frequency of each, and duration of exercise.
5. Describe any medical conditions and chronic disorders that you have. Review the list below and note any applicable conditions you may have. Heart condition or heart disease: Yes No Asthma: Yes No Diabetes: Yes No Cancer: Yes No Epilepsy: Yes No Injuries: Ankle Yes No Knee Yes No Shoulder Yes No Back Yes No Please provide details of any condition or injury you have noted above. Include descriptions with dates and brief details. Any other conditions or concerns you would like us to know about? Are you currently taking any prescription medications? Yes No If yes, please list all medications (and what they are used to treat) below.
6. Are you allergic to any: Drugs: Foods: Plants: Animals: ** In particular, if you are allergic to any insect bites or stings, you must consult your physician prior to this trip. We will require you to bring an Epi-pen.
7. Dietary restrictions/preferences?
8. I have insurance covering injury and health. Company Policy #
9. How did you hear of this trip?
10. Have you read the detailed description of the trip? Yes Signature:

DEPOSIT PAYMENT
A deposit payment of $300 per person is due in full at time of trip reservation and no later than 90 days prior to the trip departure date. If registering within 90 days of the trip departure date, payment of the total trip price is due in full. All information entered on this form will be sent to Just Get Outdoors using a secure connection.
PAYMENT	Personal Check
	Visa Mastercard Card Number: Expiration Date: Month Year Name as it appears on Card:
BILLING ADDRESS (IF DIFFERENT FROM MAILING ADDRESS)
NAME
ADDRESS
CITY
STATE
ZIP
COUNTRY

Doctor’s note: A note from your doctor certifying that you are in satisfactory health to enjoy and complete a trip of this nature is not normally required. At the leaders’ discretion such a note may be required.

As a condition of participating in one of our adventure programs, we require that you read, understand, and sign the Waiver and Release agreement included with this reservation request (Waiver & Release Agreement Form). Please send your registration form along with your credit card payment (online) or mail the form along with your deposit and Waiver and Release agreement to the address below.

Liz Domingue
Just Get Outdoors!
3340 E. Wearwood Drive
Sevierville, TN 37862

Cancellation Policy Schedule

To cover costs incurred, the following fees will be applied.
If there is a need to cancel your trip reservation 90 days or more before the trip departure date, a $50 administration fee is charged.
For cancellation 60 to 90 days from the trip departure date, half of the deposit, or $150, is charged.
For cancellation 30 to 60 days from the trip departure date, half of the total trip price is charged.
The total trip price is expected if cancellation occurs within 30 days of the trip departure date.

Thank you for submitting your reservation request. We will contact you to confirm receipt of your reservation and to review availability and other departure details.

Please call Liz with any questions or to chat about the trip (865-774-5885).