Patagonia's Wild Heart Expedition Questionnaire
Adventure across one of the most untouched wildernesses on earth to get up close to incredible wildlife like pumas, condors, penguins, rheas, and more. Before we embark, we want to learn a little bit more about you to help make this trip special. Please fill out the following questions. 
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Email *
What is your birthday?
MM
/
DD
/
YYYY
What are your preferred pronouns?
Passport Number 
Passport number for second traveler (if applicable)
Do you have any dietary restrictions?
Do you have any allergies?
Do you have any physical restrictions we should be aware of?
Anything else we should know about your health?
Do you have any phobias?
Do you have any preferred snacks?
Are you expecting any celebrations during this trip? (Wedding anniversary, birthday, etc) 
Are you hoping to receive special coaching in photography? If so, what skill are you hoping to get better at?
What are you most looking forward to on this trip?
Anything else you would like us to know?
Emergency Contact Information
Name:
Relationship:
Number:
Email:
Address:
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