Stellar Guest Registration Form Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Experience Booked ALASKA - Heli Lodge ALASKA - Traditional Package CHILE JAPAN Birthdate * MM DD YYYY Height * Weight * Allergies, Dietary Restrictions, or Food Preferences? Emergency Contact Name * Emergency Contact Phone Number Do you have any medical conditions we should know about? (e.g. prior heart attack,, cardiac arrest, implantable pacemaker/defibrillator, asthma, COPD, high/low blood pressure, diabetes, seizure, fainting episodes, etc) Have you had/ will you have any surgery or significant medial procedure within 3 months of your arrival? Are you allergic to any medicine? Do you plan on taking any prescription or non prescription medication while on the trip? Do you have any joint or muscle pain/injuries we should know about? Thank you!
