ExpeditionPlus! South America Coast to Coast
Page One
1.
Applicant Information
First Name
Last Name
Street Address
City
State
Postal Code
Country
Email Address
Phone Number
Mobile Phone
2.
Why are you interested in this trip?
3.
What special skills, hobbies or knowledge do you bring to this trip (are you a birdwatcher, photographer, geologist, chocolate connoisseur, etc)
4.
What foreign languages do you speak?
5.
Have you traveled with ExperiencePlus! before? if so, which tours?
6.
ExpeditionPlus! tours vary significantly from our regular bicycle tours, along with the expeditionary style this trip may include some nights of camping, with set up and breakdown of the tents provided. How do you feel about sleeping under the stars?
7.
Have you traveled with other bike tour companies? which ones and where?
8.
What bike touring have you done besides those described above?
9.
What other international travel have you undertaken and in what countries?
10.
What's the longest bicycle tour you've ever taken (number of days? total distance? longest single day ride?)
11.
Please tell us about any regular physical activities you undertake or your exercise program.
12.
Please tell us about your general health and any medical problems you have or that may arise.
13.
Do you have any dietary restrictions, allergies or related medical conditions?
14.
Do you consider yourself a bicycle mechanic?
15.
Please check the following bicycle skills you do have.
Patch a tube
Change a tube
Adjust a derailleur
Adjust a brake
Replace a chain
True a tire
16.
What bicycle do you currently ride?
17.
Do you maintain your bicycle or does someone else?
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