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About you and your preferences
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Email address *
Peru....What an adventure!
Full Name *
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Current Address *
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Mobile number used for WhatsApp *
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Are you coming with a group? *
If yes, with which group are you affiliated?
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If you have a preferred roommate(s), please include below.
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Would you like to request a private room? (Private room cost is an additional $50 for each night) *
To better match you with a roommate, what is your preferred sleeping schedule? (Remember, campaigns have early departures, sometimes prior to 6 am)
Birth Date *
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Do you have any known allergies? If yes, please describe. *
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What medications do you currently take? *
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What is your level of Spanish proficiency? *
What is your NPI number, if applicable?
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Have you traveled internationally before? *
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