BOOKING FORM

To complete your booking, you are required to acknowledge that you have read, understand and accept our Booking Terms & Conditions and Risk Disclosure statements.

What type of trip are you interested in? What type of trip are you interested in? Skiing Mountaineering & Climbing Hiking & Trekking

Preferred Start Date (dd-mm-yyyy)

Skiing Trip Name

Mountaineering Trip Name

Hiking & Trekking Trip Name

Your Name

Your Date of Birth (dd-mm-yyyy)

Male or Female Male or Female Male Female

Do you have any specific dietary requirements?

Do you have any medical conditions and/or are taking any medications that we should know about? If yes, please provide details.

Your Email Address

Your Mobile Number

Alternative Phone Number

Your Address

Emergency Contact Name

Their Relationship to You

Emergency Contact Email Address

Emergency Contact Mobile Number

Emergency Contact Alternative Phone Number

Emergency Contact Address

Are you a skier or snow boarder? Are you a skier or snow boarder? Skier Snow Boarder

What ability skier are you? What ability skier are you? Beginner Intermediate Advanced

What ability snow boarder are you? What ability snow boarder are you? Beginner Intermediate Advanced

Do you have any backcountry skiing/riding experience? If yes, please detail your experience.

What backcountry equipment will you be using? What backcountry equipment will you be using? Ski touring skis and skins Splitboard and skins Snowboard with snow shoes

Will you bring your own avalanche rescue equipment (shovel, transceiver and probe)? Will you bring your own avalanche rescue equipment (shovel, transceiver and probe)? Yes No, I wish to hire equipment from you

Do you have ski touring or splitboarding crampons (highly recommended)? Do you have ski touring or splitboarding crampons (highly recommended)? Yes No

If you are hiring mountaineering boots form us for $20 per day, what is your EU boot size?

What is your previous mountaineering/climbing experience?

What is your previous trekking experience?

Is there anything else you'd like to tell or ask us?

I have read, understand and accept the booking terms and conditions I have read, understand and accept the booking terms and conditions Yes

I have read, understand and accept the risk disclosure I have read, understand and accept the risk disclosure Yes

14 + 3 =

BOOKING FORM

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