RMH EVENT REGISTRATION FORM 2019
Event Type: Mt. Elbrus Climbing Expedition. Season 2019
Event Location: North Caucasus Mountains, Russia

After you fill out this Event Registration Form, we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information about programs, dates and pricing, please contact us at +7 (928) 225-5515 via What'sApp or phone call, or at info@russianmountainholidays.com

Your Full Name *
Email *
Country *
Date of birth *
MM
/
DD
/
YYYY
Contact phone number *
Selected Trip *
Selected Dates (please, check on our website, on the selected trip page) *
MM
/
DD
/
YYYY
Group Size? *
Required
Previous experience
We recommend having basic previous experience of trekking at high altitudes.
Do you have any previous experience of climbing or trekking at high altitudes? *
If yes, where?
Dietary restrictions *
Will you need to hire any technical climbing gear from us? *
Please, list what exactly you might need to hire?
MEDICAL INFORMATION
Full Medical Check and Medical & Evacuation Insurance is mandatory for this trip.
Do you have Medical & Evacuation Insurance? *
Medical & Evacuation Insurance Number:
Allergies *
Medications *
Medical Condition *
Is there any other health or medical information you want us to know about?
How did you find us? *
Yep! That's it! Thank you very much for contacting us! We will contact you back in the next 24 hours. Have a super rad day and see you soon!
About Us - Russian Mountain Holidays (RMH)
Submit
Never submit passwords through Google Forms.
This form was created inside of RUSSIANMOUNTAINHOLIDAYS. - Terms of Service