Participant Information Form

Persons approved for travel with Niagara Adventure Club, Domestic or International, must complete the following form and submit it by the end of day on the Deadline Date.

This information is for N.A.C. and N.AC. partners only, and will be used when necessary to arrange travel or other purposes deemed necessary for travel.

PLEASE COMPLETE THE ENTIRE FORM!

Upload Passport Photo*

-Attach a clear photo of your current passport.

SECTION TWO

*Required Field

Do you have any medical conditions?*

Yes

Do you require any medications?*

Yes

I will obtain out of country medical coverage prior to the departure date of our trip, and coverage will continue for the entire duration of the trip.

SECTION THREE

*Required Field

In an absolute emergency, who would you like us to contact? (At least one person required)

During the adventure, your NAC Guide will use a satellite communicator to send 2 emails per day to those you choose.

These messages will let others know that we are safe and making progress on our adventure.

These messages, as well as our location will also be posted to the Niagara Adventure Club Facebook page and Twitter feed if you would like to share with others.

This section is not required.

SECTION FOUR

*Required Field

All the information I have provided is correct to my knowledge.

I agree to share all the photos and/or videos I obtain on this trip with Niagara Adventure Club for the purpose of distribution and advertising.

(An Upload Link will be provided via email at the end of your adventure.)

Your Signature (Leave blank if not using a touch screen device)

Please allow time for upload of passport photo after clicking the submit button.

Thanks for submitting!

Participant Information Form

Persons approved for travel with Niagara Adventure Club, Domestic or International, must complete the following form and submit it by the end of day on the Deadline Date.

This information is for N.A.C. and N.AC. partners only, and will be used when necessary to arrange travel or other purposes deemed necessary for travel.

​

PLEASE COMPLETE THE ENTIRE FORM!

SECTION TWO

*Required Field

SECTION THREE

*Required Field

In an absolute emergency, who would you like us to contact? (At least one person required)

During the adventure, your NAC Guide will use a satellite communicator to send 2 emails per day to those you choose.

These messages will let others know that we are safe and making progress on our adventure.

These messages, as well as our location will also be posted to the Niagara Adventure Club Facebook page and Twitter feed if you would like to share with others.

This section is not required.

SECTION FOUR

*Required Field

Please allow time for upload of passport photo after clicking the submit button.

SECTION ONE

*Required Field