To further ensure the health and safety of every Solstice participant, it is important that we collect the following information, which we will have access to throughout your travels with us. Please note that sharing this information is optional and, if provided, will remain confidential and only accessible by program leaders and personnel directly associated with your upcoming program. Only fields with an asterisk (*) are required.

Section 1: Basic Information
Name *
Name
Date of Birth *
Date of Birth
Gender *
Section 2: Dietary Information
(if none, enter NA)
Please use the below space to provide any additional information about your dietary needs and preferences that you think might be helpful to your program organizers.
Section 3: Medical Information
(if none, enter NA)
(if none, enter NA)
(if none, enter NA)
(enter NA if necessary)
(enter NA if necessary)
(enter NA if necessary)
Please use the below space to provide any additional information that you think might be helpful to your program organizers.
Section 4: Existing Medical Conditions
Please answer Yes/No to the following. In the past 3 years, have you experienced:
Asthma
Circulatory problems
High blood pressure or heart disease
Muscular injuries
Migraines
Joint injuries
Broken bones
Seizures
Electronic Signature of Participant