Booking & Medical Form
NZ Single Track Adventures

First Name*

Last Name*

Email*

Phone number

Country/Region

Street address

Gender

Birth Date

Month/Day/Year

Emergency Contact Name & Phone #*

Emergency Contact relation to you*

Name of Tour*

Date Of Tour

Month/Day/Year

Medical Information

Your Doctors Name & Medical Practice Name *

Medical Information *

Please provide any past injuries or hospitalizations in the last 10 years. This information is kept confidential, and is needed to ensure your guides have all necessary information should there be any incidents/accidents.

Have you had your latest Tetanus Vaccination? 5 yrs ?*

Do you have any Allergies ?*

Please list any Allergies you may have , tick N/A if none*

Hospitalizations*

Please list any hospitalizations in the last 10 years.

Have you had any significant surgeries *

Please detail any injuries or surgeries you may have listed above *

Are you taking medications ?*

Yes

Please list any Medications you are taking*

Do you have any Chronic Illnesses? *

Have you ever had a heart attack ?*

Diet *

Please indicate if there is anything you DO NOT eat.

View Risk Disclosure Page Here
A Sample Of Our Risk Disclosure Form Can be downloaded here. It will be sent to you in an e-mail part of your Booking Process.

I have read and have been made aware of the Risks Associated with Mountain Biking and Adventure Tours. I agree to sign a Risk Disclosure Form as part of my participation on this mountain bike adventure.*

Please refer to the following Technical Skills & Fitness Levels Rating below.

As part of our Health & Safety measures, we want to ensure you are riding within your ability and fitness levels when booking one of our Guided Mountain Bike Adventures. This is part of our online booking processes. You are responsible for ensuring you have adequate skills and fitness requirements to join one of our guided Mountain Bike Adventures.

PLEASE READ THIS INFORMATION CAREFULLY AND RATE YOUR RIDING ABILITY BASED ON THE INFORMATION PROVIDED.

If you need more clarification please contact us, so we can make sure you are comfortable with the choice of MTB Tour.

Technical Skills Rating 1-5

LEVEL 1/NEWBIE

I have never ridden a mountain bike before.

LEVEL 2/BEGINNER

I have experience riding a mountain bike for at least ten times, I am capable of controlling my bike speed and direction on smooth double-track and rolling singletrack trails. I am not comfortable with rocks or roots. I must get off and walk my bike if there is anything technical.

LEVEL 3/INTERMEDIATE

I have been mountain biking for at least 2 years, I have good general trail riding skills. I can climb and descend under control on moderately steep singletrack with loose rocks. I can ride with mild exposure at times. I enjoy the challenges of a climb, and am in good shape for biking. I can handle moderately technical terrain and obstacles such as small logs and rocky sections, roots and other obstacles

LEVEL 4/STRONG INTERMEDIATE

I Have been mountain biking for over 3 years, and I am confident riding all types of singletrack, and am able to ride small drops and jumps and descend technical steep sections including rocks drops and uneven roots. I Can ride confidently with exposure.I am in good shape for a long ride, long climbs and feel fine to ride over 5-6hrs a day on the bike

LEVEL 5/ADVANCED

I am confident in all aspects of mountain biking. I have been riding for many years. I can handle most technical terrain, include rocky and rooty trails, along with features such as steep drops and small- medium jumps. I rarely - if ever - get off my bike to walk sections except on extremely technical terrain. I am comfortable on most advanced expert trails. I can ride 7 hours + on my mountain bike.

My Technical Skills Rating is *

Fitness Levels 1-5

LEVEL 1 - NOT ACTIVE

You are not that active
You cannot ride for more than an hour on flat terrain at a time, and the thought of climbing a hill on a bike is unlikely.
You live a fairly sedentary life with little physical activity other than walking.

LEVEL 2 - I AM WORKING ON GETTING INTO SHAPE

You can handle a 2-hour bike ride on flat terrain at a relaxed pace. Small, short hills are challenging to climb, but manageable.
You exercise on average at least 2-3 hours per week (including riding/being active).

LEVEL 3 - I AM IN RELATIVELY GOOD SHAPE

You are capable of riding 3-4 hours a day with several breaks.
You enjoy a climb, but have to stop several times to catch your breath but you are up for the challenge and you feel strong. You consider yourself in relatively good shape.
You exercise on average 4-5 hours per week

LEVEL 4 - IM IN GREAT SHAPE

You can ride 4-5 hours a day at a moderate pace with some short breaks, over a few days.
You are capable of climbing over 500 vertical metres in a day.
You exercise on average 5-6 hours per week

LEVEL 5 - IM A SUPER FIT MACHINE

You can ride up to 7 hours a day at a fast and steady pace over several days.
You have little trouble climbing 1,000 vertical metres (3,280 ft.) in a day on steep terrain.
You exercise on average over 8-10 hours per week, I train a lot.

My Fitness Rating Is *

Please detail your Mountain Bike Experience. How long you've been riding for and the types of trails you ride, and any other countries you've ridden in before. *

View our Terms & Conditions HERE

I have read and agree to New Zealand Single Track Adventures Terms & Conditions *

Booking & Medical FormNZ Single Track Adventures

Medical Information

Technical Skills Rating 1-5

Fitness Levels 1-5

Booking & Medical Form
NZ Single Track Adventures