Dietary & Medical Information

Name*

First NameLast Name

Date of Birth*

MonthDayYear

If you have any dietary requirements/food allergies, please let us know here. Please type "none" if you have none.*

Please send us this form at least 14 days before your holiday date so that we are able to accommodate your dietary requirements, if any. If you are diagnosed with a food intolerance or allergy after sending the form, please update us with this new information by emailing info@theinsidelinemtb.com.

Please give details of any medical conditions, including any medication you are taking. If you are allergic to any medication (e.g penicillin) please tell us here. If you have no medical conditions/allergies/are not on medication please type "none". *

We need this information so that your guide is aware of any health issues that you may have and, in the event of an emergency, can pass this information on to the emergency services/health care professionals.

Please enter the name of your holiday insurance company here:*

Please type company name here

Please enter your holiday insurance policy number here: *

Please note that if you do not have holiday insurance in place (including cover for mountain rescue), you will be unable to join our guided rides. The European Health Card (EHIC) is not sufficient on its own as it will not cover you for rescue from the mountain. If you arrive without having arranged your insurance, we will have no option but to insist that you buy an on-line policy before we head out on day 1.

Emergency Contact Details*

First NameLast Name

Emergency Contact Number*

Dietary Requirements & Medical Information