Medical & Fitness Declaration

The information that keeps the trip safe.

Effective 29 June 2026

Every guest completes this declaration before departure. It is reviewed only by the expedition team and is treated with strict confidentiality. Honesty here protects you, your fellow guests, and the people who care for you in remote places.

Guest Information

Full nameDate of birth

Emergency Contact

Emergency contact nameEmergency phoneRelationship

Medical Information

Medical conditionsPlease describe any conditions relevant to physical activity or remote travel.Current medicationInclude dosage and frequency where relevant.AllergiesRecent surgeries or injuries

Activity-Specific

Swimming abilityComfort level in open water, distance you can comfortably swim.Freediving certificationAgency, level, year. Leave blank if none.Scuba diving certificationAgency, level, year. Leave blank if none.

Preferences & Limitations

Dietary requirementsPhysical limitationsAnything we should account for when planning daily activity.Previous injuriesAdditional notes

Acknowledgement

I confirm that the information provided is accurate to the best of my knowledge.

I understand it is my responsibility to inform All Latitude if my medical condition changes before departure.

Guest signature

Date

This form is prepared for future electronic signature. Once expedition bookings open, signatures will be captured securely on this page.