Booking Questionnaire 1Personal Details2Your Stay3Health & Fitness4Final Details5Terms & Conditions6Confirm Answers This field is hidden when viewing the formPersonal Details:Your BookingHoliday:Arrival DateDeparture DateAbout YouName* First Last Address* Address Line 1 Address Line 2 Town / City State / Province / Region Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Home Phone Number*Mobile Contact Number*Date of Birth* Day Month Year Gender*MaleFemaleNon-binaryEmergency Contact DetailsEmergency 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 formYour Stay:Accomodation & TransfersType of Room Required*Please choose from the list belowSingleDoubleTwinAre you particularly tall or broad?(If so please give your approximate height)Dietary RequirmentsWe 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 formHealth & Fitness:Health ConditionsDo 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:*FitnessWhat regular exercise do you do?*Grade your fitness between 1-10:*12345678910How often do you go walking each month?*01-33-55-1010+What types of terrain do you usually walk on? Flat Undulating Hilly Mountainous This field is hidden when viewing the formFinal Details:Your TripWhat are your particular interests /goals on this holiday?*Joining our Cooking Holiday? Between 1 -10 where would you place your skill level?*About UsHow 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 & OffersPeriodically 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.
