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800-788-7238
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Ouzel Outfitters
Box 817
Bend, Oregon 97709
Res: 800.788.7238
Off: 541.385.5947
Fax: 541.385.0461

© 2012
Ouzel Outfitters

All rights reserved

Guest Health & Information Form

Please fill out this form as completely as possible – one form for each participant. We use the information you provide to make your trip as safe and enjoyable as possible. All information is confidential.

Read our Information Privacy Policy

Step 1 of 3

* required fields
Reference # (from invoice)
Trip *
Trip Date: *  (mm/dd/yyyy)
First Name *
Last Name *
Age *
Height *
Weight *
Date of Birth *
If particpant is a minor, who is filling out this form?
 
If participant is a minor, will they be accompanied on the trip by a parent or legal guardian?
  Yes
No
Address *
City *
State/Province *
Email
Telephone
Occupation/Expertise
Each guest receives a free t-shirt. Please select your size
 
In case of emergency, notify:
Name *
Phone *
Relationship *
On rare occasions, it is necessary to contact our guests the day before the trip.
Where will you be staying the night before and/or how can we contact you?
 
Ouzel Outfitters highly recommends trip cancellation insurance and has provided you with a link to Travel Insurance Select in your confirmation letter.
  I have received this information
I have NOT received this information
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