Home
Blog
Tours
Our Tours Overview
Hiking and Trekking
Adventure
Cultural
Family
Sports
Useful information
What to expect
What to bring
About Cusco
Safety
About us
Contact Us
Medical form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Full Name
*
First
Middle
Last
Check if you suffer from:
*
Asthma, wheezing, or severe allergies that limits my physical activity/exercise
Angina, chest pain on exertion, heart failure, heart attack or stroke, or take medication for a heart condition
Struggle to perform moderate exercise (for example, walk for 15 minutes without resting)
Uncorrected hernia that limits my physical abilities
Blackouts or fainting
Epilepsy seizures, or convulsions, OR take medications to prevent them
Psychological problems such as: anxiety, acrophobia, panic attacks, depression, or suicidal ideation
Recurrent back problems that limit my everyday activity
Diabetes, either drug or diet controlled
Recurrent migraines
None of the above
By checking the following box you hereby declare that the information provided is true and correct
*
I do.
Submit