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Registration Form
First and last name (as you’d like to be called):
*
First
Last
Date of birth
*
DD
MM
YYYY
Cell Phone (that you’ll have while here)
*
What email address should we send important trip communications to?:
*
Age:
*
Height:
*
Accepted formats are 5.5 or 168, If the height is 5ft 5 inch
Weight (in pounds):
*
How did you find out about West Coast Fitness Vacations
*
What is the main motivation behind booking with us?
*
In case of emergency, who should we notify?
Name:
*
Phone:
*
Email:
*
Relation:
*
Describe the extent of your exercise experience in the past 3 months
*
Do you know how to ride a bike?
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Yes
No
If no, it is highly recommended to book lessons prior to your trip. Go to your local bike store for information within a few hours you’ll be confident! This will open up many more opportunities to program you on low-impact activity while in Whistler.
Do you know how to breathe underwater (swim)?
*
Yes
No
If no, are you willing to learn?
*
Yes
No
How comfortable are you in nature - do you have any fears that your trip leader should be aware of?
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Yes
No
If no, please explain. We may not be the right program for you!
Any visual or hearing impairments that may affect your programming?
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Yes
No
If yes, please explain what assistance you will need.
Any mobility restrictions that may affect your programming?
*
Yes
No
Do you have any medical illness, injury or physical restriction that may influence your participation
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Yes
No
If yes, please list what activities you will be unable to participate in as a group pace based on 13 to 25 minute mile (hiking, biking, kayaking, fitness classes, workshops, weights, walking, swimming). Depending on the severity, you may need to register at a later date when you are more physically ready. Contact the office to set up a phone call with our Fitness Director.
Our food plan is gluten, wheat, dairy and land-animal free, with minimal soy, including smoothies for breakfast and dinner. Do you require any special diet (extra charge)?
*
Yes
No
If yes, please request a copy of our diet to customize it with your dietician or naturopath.
Anything we can do to make your stay extra perfect?
*
Name
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West Coast Fitness Vacations
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