Date ____________________________________

Name ___________________________________

Group Leader/Contact Person _________________________________

FOOD ALLERGIES : ____________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Male / Female (circle)

On a river trip I consider myself a:

____ Light eater

____ Light/medium eater

____ Medium to heavy eater

____ Heavy eater



BREAKFAST:

____ I don't eat breakfast

____ Light eater at breakfast

____ Big breakfast eater

My favorite breakfast is: _______________________________________________________________________

___________________________________________________________________________________________

LUNCH:

____ I don't eat lunch on the river

____ I like a light lunch on the river

____ I am a big lunch eater on the river

My favorite lunch is: _________________________________________________________________________

__________________________________________________________________________________________

DINNER:

____ Light dinner

____ Big dinner

____ I love desserts on vacation

____ I won't eat desserts

My idea of a perfect river dinner is: _____________________________________________________________

__________________________________________________________________________________________

BEVERAGES PREFERRED: _____________________________________________________________________

__________________________________________________________________________________________

COMMENTS (Here is your chance!): ______________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________