Tekapo Adventures

Our Scenic 4WD Tours offer you the opportunity to experience The Outstanding Natural Landscapes of The Mackenzie Country, accessed through private High Country Stations surrounding Lake Tekapo.

We're Operating During Winter! Join our Cass Valley Backcountry Tour or Private Tour

Booking & Medical Form

    Name *

    First Name

    Last Name

    Email Address *

    Your Tour *

    Tour Dates *

    Date of Birth *


    Gender *

    Prinicipal Health Care Plan *

    Prinicipal Health Care Plan # *

    Extended Insurance

    Extended Insurance #

    Your Doctor's Name *

    Doctor's Phone Number *

    Emergency Contact *

    Emergency Contact Phone *

    Emergency Contact Relation

    Allergies *

    Please list any allergies, including food allergies (not preferences), bug bites, medications etc. Put none if no allergies.

    Medications *

    Please list any medications you are taking, including prescription, non-prescription and nutritional supplements.

    Last Tetanus Immunization

    Your Health *

    Please describe your overall health as well as you can.

    Chronic Conditions *

    Do you see a Doctor regularly for any chronic conditions? If yes, please explain.

    Past Surgeries, Injuries, Hospitalizations *

    Please list any past surgeries, significant injuries and hospitalizations.

    If Female, Are You Pregnant?

    Please Check All That Apply

    Please describe below.

    Please Describe Any Above Conditions *

    Have You Ever Experienced Cardiac Arrest or Heart Attack

    Please Rate Your Fitness *

    This section requires you to read our Hiking Experience & Fitness Levels Section to determine your level of physical fitness and technical skill level.
    Please refer to our rating system before entering the below questionnaire. It is very important for us to have an understanding of your hiking experience and your fitness levels.

    Hiking Experience *

    Please Rate Your Swimming Ability

    Physical Limitations *

    Would you or you Doctor say you have any significant physical limitations?

    Anything Else That May Help Us?

    Feel free to tell us anything else you feel might help.


    Please describe any dietary restrictions. We will do our best to suit your needs. Feel free to include your favourite kind of foods.

    Tell Us A Bit About Your Hiking Experience

    Please describe how long you have been hiking for, the trails you are used to hiking, any destinations in the world you have hiking in.

    I have Read The Hiking & Fitness Rating For This Ride

    Call us!
    020 4156 4900