Health & Travel Form

Your trip is fast approaching. We need some final information from you and then you will be all set for your Red Hill Birding trip.

Please complete the form below

*Asterisk indicates a required field

Name (exactly as it appears on the ID you will use to travel)

Please include middle name with your first name

First Name

Last Name

Tour

Year

Email Address

Cell phone number for last minute and in-tour communications

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TRAVEL DETAILS: Please add your travel details here if you have not already sent them to us, or email them to us at info@redhillbirding.com. We need information for ALL of your flights: each leg's route, flight number, and times. If you are not flying, please tell us how you are traveling to and from the tour.

TRAVEL INSURANCE: Do you have travel insurance for your trip? If so and it is not through Red Hill Birding's partnership with Travelex, please tell us the company and policy number in the space below.

Dietary restrictions and food allergies (if none, please indicate)

Health concerns that we should be aware of, including medical allergies (if none, please indicate)

Please list any medications you are currently taking (or will be taking at the time of travel, as best you know)

Primary Care Physician

Physician's phone number

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Emergency contact

Relationship to emergency contact

Emergency contact phone number

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