CUT & PASTE THE FOLLOWING TEXT INTO THE BODY OF AN E-MAIL
FILL IT OUT AND SEND IT TO:

giantsfoot@gmail.com

YOUR INFORMATION

YOUR NAME:
GROUP NAME:
# IN GROUP:

YOUR FLIGHT ITINERARY

AIRLINE:
FLIGHT #:
ARRIVAL DATE AND TIME:
DEPARTURE DATE AND TIME:

YOUR SURFING ABILITY LEVEL

Your age:
Years surfing:
Frequented breaks:

YOUR MEDICAL HISTORY

List any current or past health conditions that you suffer from (i.e. Diabetes, artificial hip replacement, prone injuries, asthma, or a heart condition):

List any medications you are taking or may require during your stay:

List any dietary restrictions you have such as vegetarianism or a shell fish allergy:

List any allergies you have (i.e. cat allergy, bee sting allergy, sulfa drug allergy, food allergy):

Optional THINGS WE SHOULD KNOW

1. Any birthdays or special events happening in your group during your stay?

2. Any special circumstances or sensitivities among members of your group?

3. What are you and your friends looking forward to most about your stay with Giant's Foot Surf Nicaragua? (i.e seeing all my bros, surfing my brains out, both, hanging in Nicaragua, ect.).