Registration

 

Registration details

Program registration

Participant details

Responsible adult details

Contact addresses *
Contact addresses
Citz
State/Province
Zip/Postal
Country

In case of emergency

Do you have any special dietary requirements? *

Medical information

Do you have any medical or health issues that EasyDay should know about, including previous injuries, medical treatment and medication? *
Are you allergic or sensitive to any medication (eg penicillin), insect bite or food? *
Do you take any type of medication regularly? *
Please ensure that you have adequate supplies of medication for your entire visit!
To your knowledge, have you been in contact with any contagious or infectious disease, or have you recently suffered from any condition that could become infectious or contagious? *
Privacity *
DECLARATION – I have read and understood the Conditions of Participation and I accept them as part of this contract. – In addition to great experience, I am fully aware that there may be other physical and emotional risks in nature-based programs, car accidents, falling rocks, unpredictable weather conditions, uneven and slippery terrain, hydrological features and other events outside of the direct control of the organizers and guides. – I have good health and am physically able to participate in outdoor activities. – In the event of an emergency, I agree to receive any medical, surgical or dental treatment, including general anesthesia and blood transfusion, that the medical authorities present deem necessary. – I declare that the above information is correct. I will ensure that any changes in my circumstances, which may affect my participation in the activities (eg recent medication or injury), are notified to the organizers in advance of the program – I authorize Easy Day to use photos and videos taken during the program for its promotional materials, such as web pages, brochures, etc.

Pont de Valenti Association Registration

Camping Registration

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