Supplemental Information - Via Alpina Global Adventures 2025

Supplemental Information required of Global Adventures Participants

1. Your Full Name *This question is required.

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

3. Please provide an updated list and description of all medical conditions, recent injuries, and recent surgeries. *This question is required.

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

5. Please provide an updated list of all prescriptions and over-the-counter medications you are currently taking, along with any side effects that could impact you on the trip. *This question is required.