Supplemental Information - Jungfrau Global Adventure

Supplemental Information required of Global Adventures Participants

1. Your Full Name *This question is required.

2. Please describe your dietary requirements, specifying those which are medically necessary and those which are preferences. *This question is required.

3. Please list and describe all medical conditions, recent injuries, and recent surgeries. *This question is required.

4. Please list all allergies including your level and severity of reaction. *This question is required.

5. Please list all prescription and over-the-counter medications you are currently taking, along with their potential side effects. *This question is required.