Aconcagua Expeditions»Reservations»Booking – Welcome! Booking form (a) Personal information Name * Gender MaleFemaleNot declared Date of birth Country Passport Address Cellphone * E-mail * Insurance (b) Contact Information in Case of Emergency Name and Last name Cellphone E-mail (c) Medical information Blood type ---UnknownA+A-B+B-AB+AB-O+O-Do you suffer from any of the conditions below? High blood pressure NoYes Allergies NoYes Diabetes NoYes Respiratory issues NoYes Circulation Problems NoYes Seizure Disorder NoYes Pregnancy NoYes Medicines NoYes Spine problems NoYes Acute mountain sickness NoYes Pulmonary edema in high altitude NoYes Cerebral edema in high altitude NoYes Are you under medical treatment? NoYes Do you have another medical condition? NoYes (d) Food information Menú StandarVegetarianCeliacLactose freeOther Non-standard menus have extra charge. Notes (e) Expedition information Expedition type * Open Expedition - Normal Route extended itineraryOpen Expedition - 360 Polish Glacier RouteOpen Expedition - Normal Route fast ascentPrivate ExpeditionTrek to Plaza de Mulas + Mt. BoneteTrek to Plaza de MulasTrek to Plaza FranciaLogistic services to climb solo Expedition date * Arrival in Mendoza date (f) Additional information Experience and comments What words did you type to find us in Internet? I have a TripAdvisor account YesNoNot declared