CAM 2023 - STRI Research

Name(Required)

First Middle Last

Name to appear on badge(Required)

First Last

Organization(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City Country

I would like to participate in the trip to Barro Colorado Island on March 31(Required)

General Statement of Health

Please provide an idea of your health and physical condition, and any additional information you think may be relevant. Check one:

Excellent Condition – High energy levels, exercise daily and could hike over rough terrain without problem

Good Condition – Good energy levels, in good shape, and comfortable on varying terrain

Moderate Condition – Although active, prefer a slower pace with rests, can manage some uneven terrain

Enjoy nature – Limited flexibility and endurance but plan to participate in group activities whenever possible

Allergies, Medical Conditions

List any medical conditions, allergies to medications or medications currently being used, which may affect your participation in the trip, and any accommodations we may need to consider. While not medical professionals, this information can be helpful to us in the field. (e.g. seizure, asthma, high blood pressure, heart disease, diabetes, anaphylaxis, vital medications. allergies etc.) If you require medication, be sure to pack enough for several extra days, pack it in your carry-on luggage and entrust a back-up supply to your guide at the pre-trip meeting.

About the hotel

Do you need hotel reservation(Required)

Hotel arrangements are done through The Executive Hotel

For hotel reservations please contact:
Hazel McDonald
hmcdonald@elejecutivo.com

Group code: CAM2023

Single room breakfast included $65.00 + 10% tax
Double room breakfast included $75.00 + 10% tax

Arrival date(Required)

Departure date(Required)

Special Diets

Please specify

No dietary restrictions

Vegetarian

Vegan

Lactose-free

Other

If Other, please explain:(Required)