Small World Trip Registration Form

Use this form to register for a Small World Trip in Ecuador whether you are Kayaking, Rafting or Adventuring. Have your flight information, passport info, trip information and emergency contact information handy. Grand Canyoneers don't need to fill out this form but if you love forms then go for it!
  • Personal Information

  • mm/dd/yyyy
  • Trip Information

  • MM slash DD slash YYYY
  • Passport Information

    Your passport needs to be valid for six months after your trip.
  • Emergency Contact Information

    Please leave the name and number of a person we can contact in the case of an emergency.
  • Medical Information

    The trips are strenuous and all participants need to be in very good physical condition. We recommend that all trip participants schedule a physical exam within 2 months prior to departure. Discuss the activities and location of the trip, and take the doctor’s advice. If you are not comfortable disclosing information here then schedule a call with the office to discuss.
    Do you have any physical conditions that would prevent you from fully participating in this trip? If you check Yes, please provide detail below.
  • Please sure any details here that you think we should know. Medications you may need, allergies we should know about, recent operations, etc. Put it here or talk to us in private.
  • Lodge Stuff

    Let us know how you like to eat, sleeping arrangements.
  • Anything else you would like to share about your dietary restrictions, food allergies etc.
  • Flights

  • MM slash DD slash YYYY
  • :
  • MM slash DD slash YYYY
  • :
  • River Experience

  • Trip Insurance

    Every year we have guests that at the last moment can't make the trip for valid reasons and don't have trip insurance. Small World wants to help but we are unable to issue refunds in such situations. Please purchase trip insurance, it is not expensive and doesn't take long.
  • Thanks Small World Adventurer!!

  • Anything else you would like to let us know.
  • Thanks, don't forget to Submit below!!

  • This field is for validation purposes and should be left unchanged.