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About us
Expeditions
Survival
Scheduled Calendar
Info
Engage
Blog

ES

Personal information

Please each participant should complete the whole form so that we can offer you a better service and provide more security during your trip. This information is confidential.

Full name as it appears in your passport

Date of birth

Sex

Passport number

ID Nº (Peruvians)

Nationality

Country of residence

E-mail

WhatsApp/Telegram number

Name of Expedition Reserved

Date of trip (From)

Date of trip (To)

Participants

US$ per person

Form of Payment

Date of deposit

Upload voucher

Amount sent (US$)

Arrival information to Iquitos

Departure information from Iquitos

Accommodation in Iquitos

Receiving at Iquitos airport

In charge of Hotel In charge of Amazon Explorer

Prior jungle experience

Yes No

Can you swim?

Yes No

Mosquito nets

Individual Double (for couples)

Languages you speak

Spanish English French Dutch

How did you learn about Amazon Explorer?

Others

Blood group

Medical conditions and phobias

Allergies (drugs, insect bites, food)

Handicaps or other limitations

Yes No

Details

Other medical conditions

Special type of diet

None Vegetarian Other (Gluten-free, etc)

Details (Do you eat: dairy, eggs, fish, etc?)

Contact address in case of emergency

AMAZON EXPLORER

Amazon Explorer offers an exciting and extreme experience in a unique and challenging environment. We specialize in adventure tourism and survival training in the Amazon jungle.

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