Adventure Profile Form for:
Pura Vida
By filling out the Adventure Profile form below it will better help us in setting up your excursion package. Once completed, a staff member will contact you with further instructions on proceeding forward.
Required*
1. First Name*                       
 
2. Last Name*
 
3. Address*
 
4. City* State*
   
5. Zip*
 
6. Country*
 
7. Phone Number*                          
 
8. Email Address*
 
 Activities of Interest
Whitewater Rafting
Camping
Jungle Excursions
Mountain Biking
 Bird Watching
Sea Kayaking
Eco-Tours
Horseback Riding		 Canopy Tours
Bungee Jumping
Ultra-Lite Flights
Scuba Diving
     
     
 Available Dates  (mm/dd/yy)
 
 1st Choice  from:* to:*
 2nd Choice  from: to:
 3rd Choice  from: to:
 4th Choice  from: to:
Have you previously visited Costa Rica? No Yes
9. Additional Comments or Questions: