Venezuela adventure, kayak, explore, volunteer

Venezuelan 3 Month Explorer...

Costs	£1995 / $4350 (US) / €3227
Group Size	4 - 20
Countries Visited	Venezuela
Dates	08 Dec 2008 to 03 Mar 2009 19 Jan to 13 Apr 2009 16 Mar to 09 Jun 2009 11 May to 04 Aug 2009 06 Jul to 29 Sep 2009

Click here for all dates

03 Aug to 27 Oct 2009
12 Oct 2009 to 05 Jan 2010
07 Dec 2009 to 02 Mar 2010

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Trip Details

Trip*

Venezuelan 3 Month Explorer

Trip Date*

Your Personal Details

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First Name*

Last Name*

Address*

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Email Address*

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Email you use while travelling (if different from above)

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Date Of Birth*

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Emergency contact details

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Passport details

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Place and Date of Issue

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Health and Physical Fitness

Do you suffer from any of the following? Asthma, Epilepsy, Diabetes, Allergies

Do you take any prescription drugs or medication? Have you had any psychological / psychiatric illness in the last three years? If yes to any of the above, please supply more info below.

Do you have any dietary requirements?

Do you smoke?*

Can you swim 200m unaided?*

Do you have a criminal record?*

If joining a marine trip

Are you a qualified diver?
If yes, please state your qualifications and number of dives recorded.

Qualified? No of Dives

Have you ever had a case (or suspected case) of DCS (Decompression Sickness)? If yes, please provide details

Other Details and Information

Please introduce yourself to the trip staff by telling us a bit about your interests, previous travel experience, language skills, first aid, and any other relevant information or qualifications which might be useful.*

Please give your reasons for applying to join this trip. What do you hope to gain from it*

Please tell us if you have any queries / concerns about the trip which you are joining?

Where did you hear about Yomps*

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