BOA REGISTRATION FORM

*Person(s) Name(s):

*Date(s) of birth:

*Height(s): *Weight(s):

What Trip you are booking for? Espiritu Santo Circum. FC Espiritu Santo Circum. CC Quick Escape FC Quick Escape CC E. Santo/Whale Watch Baja Cape Discovery 10 Day Epic Loreto - La Paz 2 Day Whale Watch Other Starting date: day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month: January February March April May June October November December

If you are in a private party or other customized trip, please specify:

Where do you live? State: Country:

Occupation(s):

Telephone number -(h): (w): (fax):

Email address:
Please confirm your email address:

Medical needs/allergies:
None

Prefer coffee or tea? coffee tea. Other dietry requirements:

None

Flight arrival and departure times: Which airport?:

If you are booking for a Quick Escape, please give the name of the hotel you'll be staying prior to the trip departure:

How did you hear about BOA? Internet Friend/Relative I am a returning client Baja Events Infohub Magazine TV Program Other

Please Place me on your mailing list:

Would you like to add any comments or questions?:

Please tick on the items you need:
tent drybags sleeping pad wet suit snorkelling gear foot size:

What kayaking experience do you have? 0 -1 Trip 2 - 5 Trips 5 - 20 Trips More

What do you consider is your level of fitness? not very fit moderate fit very fit