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Medical History Form

First name*

Last name*

Email*

Phone*

Address

List any allergies you have.*

List any previous injuries.*

List any medications you currently take.*

Hiking or backpacking experience.*

Dietary restrictions*

Crafting unforgettable journeys through the high Uintas. From backpacking to multi-sport expeditions, your adventure starts here.

Location

872 E 110 N
Heber City, UT 84032

+1 (843) 283-2976

matthew@mountainsahead.com

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