Multi Day Guest Questionnaire

Please take a moment to completely fill out this questionnaire. This information will help the staff to properly outfit you and your needs during your instructional classes with us. This information is kept private and confidential and will not be shared outside our staff. All members of your party need to fill out their own questionnaire.

Trip Name*
Date of Your Trip*
MM slash DD slash YYYY
Your Name*
Email*
Phone*
Address
Street Address Address Line 2 City State ZIP Code
Birthdate*
MM slash DD slash YYYY
Sizing Info

Please be as accurate as possible for your own comfort.
Height
Weight
Pertinent Past & Present Medical History

Please be completely truthful when filling out this section and be sure to list anything that we may need to know if an emergency should arise.
Are you taking any medications?
- Yes
- No
Medications
Allergies
Heart Conditions
Recent Sprains, Strains, or Breaks
Anything Else?
Emergency Contact Information

Please be completely truthful when filling out this section and be sure to list anything that we may need to know if an emergency should arise.
Contact Name*
Contact Day Phone*
Contact Cell Phone*
Relationship
Dietary Needs

A friendly reminder that our menus accommodate a wide variety of dietary preferences (vegetarian, etc). While we strive to deliver the best cuisine possible, we cannot always guarantee to accommodate all special diets. Please indicate special needs below and feel free to call our staff for any questions or clarifications.
I will NOT eat:
Food Allergies:
Aside from our Gourmet WIne Pairing and Craft Brewery trips, NMRA does not provide alcohol of any kind. We will always have space for whatever alcoholic or special drinks you would like to bring including a drink cooler or “drag bag” to keep you drinks cold. Beer is best brought in cans, alcohol is best in plastic containers and bottles of wine are fine.
Equipment

You are welcome to bring your own sleeping bag, pad and tent and if you choose to do so, please make sure they are reasonably sized and packable. If you would like NMRA to provide you with a sleeping bag, pad and/or tent, please indicate below.
Sleeping Bag
- I will bring my own
- Please provide for me
Sleeping Pad?
- I will bring my own
- Please provide for me
Tent?
- I will bring my own
- Please provide for me
Who will you be sharing the tent with
Is there anything else you think we should know about you?
How did you hear about us?

Most Popular

RACECOURSE HALF DAY

Multi Day Guest Questionnaire

Sizing Info

Pertinent Past & Present Medical History

Emergency Contact Information

Dietary Needs

Equipment

You are welcome to bring your own sleeping bag, pad and tent and if you choose to do so, please make sure they are reasonably sized and packable. If you would like NMRA to provide you with a sleeping bag, pad and/or tent, please indicate below.