Costa Rican Bird Route: Registration Form

CHOOSE YOUR OWN ADVENTURE FORM

NAME of Person Organizing Trip (a.k.a Trip Contact):
Phone Number of Trip Contact:
Email of Trip Contact:
Address:
City:
State:
Zip (Postal Code):
Country:
Number of Adult passengers participating in Trip:
Number of Child Passengers (under age of 18):
Preferred dates of Trip:
Alternative dates of Trip (if possible):

Please select the sites you would like to visit, in the order in which you would like to visit them. If no preference on order, please check box below indicating you have no preference to the order of sites you wish to visit.

Order	Site Name	Number of Nights
1.
2.
3.
4.
5.
6.

Check here if you have no preference on order of sites visited.

If you wish to visit more than 6 sites, please list additional sites here:

Would you like a local guide to be with you the whole time on your trip or would you like to have a guide just at each site?
Local guide entire trip
Just guides at each site
No guide

How will you be traveling?
Rented Vehicle
Bus
Other
I don’t know

Do you have any special activities that you would like to do in the region (ex. Whitewater rafting, local integration, photography):

How did you hear about the Costa Rican Bird Route?