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Adventure Greens
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Goa
Beyond Goa
About Us
Rental
Adventure Greens
Login

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Activity Page

Activity Page

Thank you for choosing Adventure Breaks!

It is MANDATORY to fill out the following form to confirm the booking.

Activity Name(Required)

Email(Required)

Date of Activity(Required)

Day

Month

Year

Choice of Kayaking(Required)

Morning Beach Kayaking

Sunset Kayaking

Secret Beach Kayaking

Moonlight Kayaking

Chorao Chillout Kayaking

Choice of Trekking(Required)

Ocean Trek Neuti Beach

Ocean Trek Sea Cave

Four Beaches Jungle Hike

Ocean Hike Crabs Claw Bay

Ocean Hike Eagles Cliff

Ocean Trek Cabo de Rama

Jungle Chill

Ocean Trek Hippie Trail

Wilderness Hike

Ocean Trek Devil's Finger

Choice of Solo Travel(Required)

Ocean Trek Sea Cave

Four Beaches Jungle Hike

Ocean Hike Crabs Claw Bay

Ocean Hike Eagles Cliff

Ocean Trek Cabo de Rama

Ocean Trek Hippie Trail

Choice of Expedition(Required)

Coconut Island and Neuti Experience

Expedition Neuti

Choice of Climbing(Required)

Agonda Climb

Eye Climbing Wall

Choice of Sailing(Required)

Learn to Sail

Morning Sail

Lunch on the Sea

Evening Sunset Sail

Sail Around Panaji

Choice of Sea Swim(Required)

Mandovi Swim

Swim Bambolim - Dona Paula

Lunch on the Sea

Evening Sunset Sail

Sail Around Panaji

Full Name(Required)

Date of Birth(Required)

Day

Month

Year

Age(Required)

Gender(Required)

Male

Female

Blood Group(Required)

Weight(Required)

(in kgs)

Height(Required)

(in cm)

Phone Number(Required)

Emergency Contact(Required)

(PLEASE SHARE THE CONTACT INFORMATION OF A PERSON NOT JOINING YOU FOR THE ACTIVITY)

Allergies(Required)

Any physical ailment? (IF YES, PLEASE SPECIFY)(Required)

Fear of Heights(Required)

Do you own a pair of climbing shoes?(Required)

Yes

No

Other

T-shirt size?(Required)

XS

S

M

L

XL

Other

What is your trousersize?(Required)

What is your shoes size?(Required)

(UK size)

Kayaked before?(Required)

Yes

No

Trekked before?(Required)

Yes

No

Climbed before?(Required)

Yes

No

Sailed before?(Required)

Yes

No

Do you have motion sickness?(Required)

Yes

No

Do you know to swim?(Required)

Yes

No

Food Option(Required)

Veg

Non veg

Are you vaccinated against Covid - 19?(Required)

1st dose

2nd dose

No

Do you need a backpack?(Required)

Yes

No

(20 liter backpacks are available on rent at 50/- per day. Please add this to the activity fee)

Country(Required)

State Domicile(Required)

Profession/Occupation(Required)

How did you hear about Adventure Breaks

Social Media Advertising

Facebook

Instagram

Reference from a friend

You know a member of Adventure Breaks

Google Search

Instagram handle? (We promise to follow back ;))

On submission of the above details, you agree to our Indemnity clause that states: "I am participating in the Trekking Activity with Adventure Breaks out of my own free will and at my own risk entirely. I hereby totally and unconditionally indemnify Adventure Breaks, the organisers, the instructors, the team and all others associated with this activity from any claims whatsoever arising from any loss to self, dependents, and/or property in the event of an accident resulting in injuries or death before, during and after the activity."(Required)

Agree

Disagree

Δ