Hiking Tour Participant Health Declaration Form
Personal Information
Full Name
Date of Birth
Contact Number
Emergency Contact Name & Number
Medical Information
Do you have any medical conditions or allergies?
Are you currently taking any medication?
How would you rate your fitness level?
Low
Moderate
High
Health Declaration
I confirm that I am currently free of fever, cough, and other communicable illness symptoms.
I declare that I am physically able to participate in the hiking tour.
I have disclosed all relevant medical information.
Signature
Date