ENW REGISTRATION
PLEASE FILE INDIVIDUALY
Trip Information
*Which trip/course are you registering for?
Desired trip/course date:
Participant Information
*First Name:
(as it appears on your credit card)
*Last Name:
*Address:
(billing address)
*City:
*State/Province:
*Zip/Postal Code:
Country:
*Email address:
Home Phone
w/ Area Code:
Cell Phone
Additional comments and trip details:
In Case of Emergency Contact Info
* Name:
* Phone:
Email:
Will you or your group need the following? Check all that apply
accomodations
transportation
outing food
catering
rentals
Group Registration
Number of people for this trip/course.
List of individuals taking part in course
General Information
* Date of Birth
* Height
* Weight
* Age
* Medical History
(Please detail any medical conditions or issues which may affect your ability to participate on a trip or course. Include any: allergies, regular prescribed medications,medications for the trip, pre-existing conditions, recent injuries or medical issues, anything the guide will need or want to know about your health
* Dietary Restrictions and Preferences
* Outdoor Experience
briefly describe your outdoor experience, background, general level of fitness relevant to the trip. Give examples of climbs or expeditions that have prepared you for this trip.
Travel Information (if applicable)
Name of your accomodations:
Airline and flight number:
Will you be renting a car?:
phone used during travel:
arrival date/time:
departure date/time:
Trip Insurance
*Will you be using trip insurance:
Gear Information
For Avalanche and Ski Courses
Please indicate what type of backcountry gear you plan to use for your trip.
Alpine touring skis
Telemark skis
Splitboard
Snowboard w/ snowshoes
Snowshoes
List of equipment you will need to rent
Trip Total
* Trip total:
Terms And Conditions
*Please print and sign the release form found at this link
*I have read and agreed to the terms and conditions found at this link
I agree:
If the registration button does not take you to the following page, you may have errors in the data you entered. In that case, after hitting "create registration", scroll up to see which fields need to be fixed.