REGISTRATION FORM

The programme in which you will participate requires a good fitness, power and resistance level. It is your responsibility to ensure that you have an appropriate physical condition to allow you to participate.  Should it be necessary, please do consult a doctor to ensure that your health and physical conditions are suitable to be able to participate in a programme of this type. All of the information revealed will be treated with absolute confidentiality.

Atención: Los campos marcados con * son obligatorios.

All the above information is correct. I understand that not providing full details may compromise my health and safety during the trip and may result in a premature termination of the programme. I agree to informing AndesContact should any of the above details have changed before the start of the trip. I give my consent to receive medical attention or treatment from a doctor or treatment and for a family member to be notified in the case of hospitilisation should I become injured or fall ill during any programme of AndesContact. This form should be signed upon the start of the programme.