Booking Form

Name (as stated on your passport) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Postcode *

Phone number *

Mobile number *

Email to be contacted on *

Date of Birth *

Your bike model/make - Ireland only *

Registration and year of your bike - Ireland only *

Your height - Vietnam only *

How did you hear about RAMS Adventures? *

T-Shirt size: *

Which Adventure? *

Helmet size *

How long have you held a motorcycle licence? *

Do you currently own a motorcycle? *

Yes No

How often do you ride? *

Bike choice - based on a first come first served *

Who else is in your group? *

Room share with? *

Room type *

Medical History

Our Medical staff have a responsibility to ensure that everyone is safe and looked after, so having prior knowledge of any past medical history and medication taken is important.
Your answers will be treated in the strictest confidence and will not necessarily have an adverse effect on your chances of participating in the trip.

PLEASE ADVISE US IN THE SPACE BELOW OF ANY CONDITION, PAST OR PRESENT, WHICH YOU THINK MAY HAVE A BEARING ON YOUR ABILITY TO TAKE PART:

Are you allergic to any drug/medicinal product? *

Yes No

Are you allergic to any food or drink products? *

Yes No

Are you taking regular or occasional medication? (Prescription or non-prescription) *

Yes No

Do you have any dietary requirements? *

Yes No

Dietary requirements *

If yes, please give full details of any allergies, including ALL regular medication and dosages in the space provided below. Also include any occasional medication that you will be using on the event which could affect your ability to take part).

Medication List (inc. dosages) *

Past Medical History *

Emergency Contacts

Name *

First

Last

Relationship *

Phone Number *

Mobile Number *

Notes *

Name *

First

Last

Relationship *

Phone Number *

Mobile Number *

Notes *

Your Health

You will be riding in varied conditions and in a hot and cool climates, often for long periods; therefore it is important that you are in reasonable health. If you have any medical condition which could be adversely affected by strenuous exercise or temperatures, or are in any doubts concerning your health, or taking any medication, you must get clearance from your doctor before returning this form. It is also your responsibility to inform us of any conditions that may arise in the period between completing this form and the event. It is important that we know about any potential problem well in advance.
The expedition will have a registered medical team who will be accessible throughout the ride and their treatment may be compromised without the correct information.

Medical History

Emergency Contacts

Your Health

Make a payment

0844 664 5251

BOOKING FORM

Medical History

Emergency Contacts

Your Health

Make a payment

0844 664 5251​​

0844 664 5251