Reservations

I. TRIP

Days of the tour:

Select the trip you wish to take:

Barcelona Natural Park. Sunset in Barcelona Natural Park. Greenway "From Olot to Girona". Following the Ter River. Barcelona Countryside. MTB. Barcelona Weekend MTB Tour. Route of the Cathars. MTB in the Pyrenees Catalonia Diagonal. The French Alps. The Italian Alps, DoloMítica. Hiking in Sant Miquel del Fai. Hiking in Montserrat. Others:

II. PERSONAL INFORMATION

Name:
Last Name:
Telephone:
Email:
Age:
Your high in cm.:
T-shirt size:	:S - M - L - XL -XXL
Address:
City:
Country:

III. FITNESS LEVEL

How many days a week do you ride your bike?	select none 1 day 2 days 3 days 4 days 5 days 6 days 7 days
What was your most recent long ride?	km.
Where do you usually go?	Inclines Flat Areas
Have you done a multi-day tour?	Yes No

IV. LODGING

If you are traveling with someone else, please tell us your preferences:
Do you wish to share a room with your   companion?	Yes No
Preferences:	2 double beds 1 queen bed
First and Last Name of Companion:
If you are traveling without a companion, please tell us your preferences:
Do you wish to share a room?	Yes No

V. MEDICAL INFORMATION

If you have a personal sport insurance, please provide us with the following information:
Health Insurance Provider:
Policy Number:
Contact Number for Provider:
Do you take any medication that should be known about if necessary?	Yes  (specify which one) No
Are you allergic to any medication?	Yes  (specify to which) No
Emergency contact:	Telephone
Special diet (vegetarian, etc.)

VI. PAYMENT METHOD

Bank transfer to Terra Diversions, S.L. Cuenta: 2100-1008-49-0200204738

Los datos de carácter personal propocionados serán tratados por Terra Diversions S.L., de Sta. Eulàlia de Ronçana, con la finalidad de informar via e-mail de las futuras actividades que se organicen. A esta información sólo accederán los trabajadores de Terra Diversions S.L., encargados de organizar estas actividades. En virtud de la LO 15/1999, del 13 de diciembre, de Protección de Datos de Carácter Personal usted podrá ejercer, en todo momento, su derecho de acceso, rectificación, cancelación y oposición dirigiendose a info@terradiversions.com.

info@terradiversions.com
Telf. +34 93 844 63 88