Booking Questionnaire 1Personal Details 2Your Stay 3Health & Fitness 4Final Details 5Terms & Conditions 6Confirm Answers This field is hidden when viewing the form Personal Details: Your Booking Holiday: Arrival Date Departure Date About You Name* First Last Address* Address Line 1 Address Line 2 Town / City State / Province / Region Postcode Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Congo, Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Arab Republic Taiwan Tajikistan Tanzania, the United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Email* Home Phone Number* Mobile Contact Number* Date of Birth* Day Month Year Gender*Male Female Non-binary Emergency Contact Details Emergency Contact Name*This must not be the person travelling with you First Last Home / Mobile Contact Number* Relationship* This field is hidden when viewing the form Your Stay: Accomodation & Transfers Type of Room Required*Please choose from the list below Single Double Twin Are you particularly tall or broad?(If so please give your approximate height) Dietary Requirments We have set menus for evening meals and packed lunches (sandwiches). Therefore, it is important that we know the following in advance: Do you have any food allergies?* No Yes Please list any food allergies that we should be aware of:* Do you require a special diet e.g. vegetarian, low carb etc* No Yes Please let us know your dietary requirements:* Is there anything you do not like to eat? Including sandwich fillings!* No Yes Please let us know:* Do you have to avoid certain foods for any other reason eg. digestive, religious, etc.* No Yes Please let us know:* This field is hidden when viewing the form Health & Fitness: Health Conditions Do you suffer from any of the following: * Diabetes Heart condition and/or high blood pressure Fear of heights, bridges, exposed paths etc Asthma Knee, hip or back problems Other things we should know e.g. pacemaker, pet allergies, car sickness etc. None Other Health Conditions:* Please give details:* Are you allergic to:* A medication e.g Ibuprofen, Penicillin etc Plasters Other e.g. cats, pollen etc None of the above Please give details:* Fitness What regular exercise do you do?* Grade your fitness between 1-10:*1 2 3 4 5 6 7 8 9 10 How often do you go walking each month?*0 1-3 3-5 5-10 10+ What types of terrain do you usually walk on? Flat Undulating Hilly Mountainous This field is hidden when viewing the form Final Details: Your Trip What are your particular interests /goals on this holiday?* Joining our Cooking Holiday? Between 1 -10 where would you place your skill level?* About Us How did you hear about Aragon Active? Have you been on a group holiday before? If so with which company? Anything else you would like to tell us? No Yes Message* Terms & Conditions* By ticking this box, I have read and agree to Aragon Active Terms and Conditions and I confirm that I will have adequate insurance cover while on my Aragon Active Holiday Click here to read our Terms and Conditions in a new tab. I have read and agree to the Terms & Conditions Privacy & Data* The security of your information is of vital importance to us. We have taken the necessary steps to ensure that your data is kept safe and secure. By ticking this box you confirm that you have read and accepted our Privacy Policy and consent to us using your data to process your booking. Click here to read our Privacy Policy in a new tab. I have read and accept the Privacy Policy News & Offers Periodically we send out a newsletter to our customers with information about new trips, offers on our holidays and new content from our blog. If you'd like to receive this, tick the box below. You can unsubscribe at anytime by clicking the link at the bottom of our emails, or contact us directly to be removed from our database. Yes, I'd like to hear about news, trips and offers. Please check your answers If you need to change any of your answers in this form simply use the 'Previous' button at the bottom of each page.
