Snow Mountain Jan 26-28 2018
Thanks for signing up for the Snow Mountain trip with us. Please complete all the details in the form accurately as these are required for permits and insurance.
Your name *
As written in your passport
Your answer
Nationality *
Your answer
ARC/Passport Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender
Address *
Your answer
Cellphone Number *
Your answer
E-mail *
(Please be careful!)
Your answer
Dietary Requirements *
Vegetarian, vegan, allergies, etc.
Your answer
Medical Conditions *
Be as specific as possible (allergies, previous injuries, etc)
Your answer
Emergency Contact *
Your answer
Emergency Contact Relationship *
Your mother, father, spouse, friend, etc
Your answer
Emergency Contact Number *
Your answer
Do you wish to rent a sleeping bag? *
Winter -10C rated sleeping bags - $400NT
Do you wish to rent hiking poles? *
We highly reccommend hiking poles for any trip involving snow, or anyone with previous lower body injuries. ($200NT each)
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