Trek Register

Sign the register

One form, one time. Anything you skip, you fill by hand at the campsite.

JAVASCRIPT IS OFF

This form can't save without it. Two ways around: WhatsApp the word MEMBER to +91 76928 84947 and we'll register you in chat, or come 10 minutes early and fill the paper form at the campsite.

1 · WHO YOU ARE

Full name

WhatsApp number

Date of birth

City

Full address

Email Optional

Gender Optional

Woman Man Non-binary Prefer not to say

Occupation Optional

Instagram handle Optional

2 · SAFETY & HEALTH

Emergency contact name

Emergency contact phone

Blood group

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Medical conditions Optional

Allergies Optional

Regular medications Optional

3 · ON THE TRAIL

Fitness level Optional

Take it easy Regular walker Bring the hills

Trekking experience Optional

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Can you swim? Optional

Yes No

Food preference Optional

Veg Non-veg Jain Vegan

T-shirt size Optional

XS S M L XL XXL

What are you here for? Optional

Birdwatching Photography Stargazing Camping Night walks Forts & history Wildlife tracking Bonfire music Volunteering

4 · LOGISTICS

Photo ID type Optional

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ID number Optional

Preferred pickup point Optional

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Own vehicle? Optional

Yes No Sometimes

Tent sharing Optional

Anyone is fine Same gender only Own tent

How did you find us? Optional

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Leave this empty

CAMPSITE PAPERWORK 0/20

20 blank fields — those go on paper at the campsite.

5 · CONSENT

Risk & liability waiver

I understand that trekking and camping in Ratapani Tiger Reserve involve inherent risks, including uneven terrain, weather and wildlife. I confirm the medical information I have provided is accurate, I agree to follow guide instructions at all times, and I release JunglePaglu Treks from liability for injury or loss arising from risks I have been informed of, to the extent permitted by law.

Photos & videosOptional

JunglePaglu may photograph and film during treks. I'm okay appearing in photos and videos used on JunglePaglu's website and social media. I can withdraw this anytime by writing to us on WhatsApp.

You won't be asked again.

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You're on the register

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