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BANDED PARTICIPANT
QUESTIONNAIRE

FIRST NAME

LAST NAME

BUSINESS NAME

Google Drive Email

PERSONAL PHONE

EMERGENCY CONTACT No. 1

EMERGENCY CONTACT No. 2

DIET & ALLERGIES

DO YOU REQUIRE AN EPIPEN OR INHALER INCASE OF A REACTION

JUST INCASE OF AN EMERGENCY, WHAT MEDIACTIONS DO YOU TAKE?

DO YOU HAVE ANY PHYSICAL, MENTAL, OR HELTH SITUATIONS WE SHOULD KNOW ABOUT?

WHAT IS YOUR FAVORITE FOOD OR SNACK (INCLUDE BRAND & FLAVOR)?

DO EMILY OR SHELBY NEED TO KNOW ANYTHING?

I AGREE TO TAKE CARE OF THE AIRBNB, NO SMOKE WEED OR CIGARETTES INSIDE OR OUT OF THE HOUSE, PRACTICE GOOD HYGINE, BE KIND AND RESPECTFUL TO ALL PARTICIPANTS, AND ABIDE BY ALL BANDED AND AIRBNB RULES.

WE ARE SO EXCITED TO HAVE YOU NEXT WEEKEND!

Recording

today for the

of tomorrow.

Memories

Nostalgia

oregon & arizona

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emilyirenephotoco@gmail.com

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