Guest Questionnaire Please fill out the following information, so we can better prepare for your arrival this spring Guest Questionnaire Welcome to the GP Guest Questionnaire!Name* First Last Email* Phone*Where are you based?* City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Emergency Contact*NameRelationPhone (incl country code) Your trip start date*(Format: dd/mm/yyyy) DD slash MM slash YYYY HiddenWill you have your COVID-19 Vaccination at least 2 weeks before your trip? No Yes, one dose Yes, fully vaccinated Yes, even have my booster! How will you be arriving in Port Hardy?*AirBus/ShuttleCarWhat time and day does your flight arrive? Have you been to God's Pocket before?*No, this will be my first timeYes, a few times (1-5 times)Yes, I come back often (6-10 times)Yes, I can't seem to stay away for too long (11-20 times)Yes, I practically live here (21+ times)What year did you visit GP last?(Format: yyyy) Diving InfoWill you be diving on this trip?*YesNoWhich certification agencies do you train with?* ANDI BSAC GUE IANTD NAUI PADI SSI TDI Other Main cert card info*You can add a second line, if you'd like to supply 2 cardsAgencyNumberLevel Nitrox cert card infoAgencyNumberTotal number of logged dives*0-4950-99100-9991000-49995000+Total number of ocean dives*0-4950-99100-9991000-49995000+Total number of cold water dives*0-4950-99100-9991000-49995000+Total number of dry suit dives*0-4950-99100-9991000-49995000+Most recent year of dry suit diving*(Format: yyyy) What kind of fills will you be needing?*Please check with your trip leader about the cost of Nitrox or O2Air (~21% oxygen)Nitrox (~32% oxygen)Pure O2 (100% oxygen for CCR)Will you be bringing at least one tank?*We include the use of one 85cf LP steel tank for each guestYesNoWhat is your tank setup?*Please check all that apply Single tank Back mount Double tank Side mount Pony Sling Rebreather Describe your tank(s)Add a row for each tank you plan to bringHP / LPSize in Cubic FeetDIN / Yoke / Other Describe your weight setupAverage total weight needed (for dry suit diving)Do you use integrated, belt, and/or ankle weights?Will you need GP weights? If so, approximately how much of each type?AccommodationDo you have someone in mind for your room share?*NB: Rooms are double occupancy, unless you've arranged for a single room. Single room supplements are +20% of your trip cost. Yes, and we need 2 separate beds Yes, and we only need 1 bed, together No, please match me up based on gender No, please match me up based on other criteria I have already arranged a single occupancy room Who would you like to room share with? What criteria would you like us to use? Health and DietDo you have any allergies (food or other)?*If yes, please list them here. If no, just leave 'No' in the fieldDo you have any other medical condition we should be aware of, given our remote location?*If yes, please elaborate on them here. If no, just leave 'No' in the fieldDo you have a medical requirement for gluten free meals?*YesNoWhat are your dietary needs or preferences?* No preference Pescatarian Vegetarian Vegan OtherOptional: What are the top 3 things you'd like to see stocked at GP?Add a new row for each item CAPTCHA