CLIENT DETAILS SHEET

Completion and return of this questionnaire will enableme to propose and quote for a walk that has been tailored to your own requirements.If you would be happy to share a walk with other people, please don't forgetto mark the appropriate box.

DATES:

Preferred : to

Alternative : to

NUMBER OF PARTICIPANTS :
PLEASE SPECIFY INDIVIDUAL AGES AND SEX
Enter details AGE (35) the SEX (M) like this 35M
Maximum of 8 people per group

TOTAL :

TYPE OF GROUP : Click Boxas appropriate.

INDIVIDUAL ----> FRIENDS ----> COUPLE----> YOUTHGROUP ---->
SCHOOL ----> WALKING CLUB ----> SPECIAL INTEREST GROUP ---->
OTHER ---->

TYPE OF WALKREQUIRED :
PLEASE INDICATE IN BOX THE NUMBER OF DAYS TO BE ALLOCATED TO EACHTYPE OF WALK.

HAPPY TO SHARE SOLE OCCUPANCY

INTRODUCTORY DAY WALK(S) .......
INTRODUCTORY CAMP-OUT ..........
SCENIC WALKING TOUR ............
NAVIGATION INSTRUCTION .........
SPECIAL INTEREST ...............
VEHICLE BASED TOUR .............

CLIENT EXPERIENCE:
PLEASE PROVIDE SOME INDICATION OF THE CARRYING CAPACITY. WALKINGEXPERIENCE, AND RELATIVE FITNESS FOR AGE OF EACH OF THE PARTICIPANTS.

MEDICAL CONSIDERATIONS :
DOES ANY PARTICIPANT HAVE ANY CONDITION THAT MAY INFLUENCE THEIRPERFORMANCE?
Before answering this question please read the Disclaimer first.

NO YES IFYES, PLEASE SPECIFY

YOUR MOTIVES, WISHES AND EXPECTATIONS :
IN THIS BOX PLEASE TRY TO RELATE THE REASONS WHY YOU WOULD LIKETO EXPERIENCE TASMANIAS WILDERERNESS WITH TASWALKS.

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DISCLAIMER

No guarantee of confidentialitycan be given in regard to details disclosed on this form.

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