Ice Axe Trekking and Ski Skills Questionnaire
We rely on the honesty and integrity of each individual to assess his/her skill level and physical condition accurately. Please contact Ice Axe at 530-582-1246 if you would like to discuss any questions with us.

Ice Axe reserves the right to adjust groups depending on actual on-ice skill level during the course of the cruise. Please complete the following questions so that we may place you in a guided group appropriate to your level and objectives.

Snowboarders, please give a broad picture of your experience level in your own words.

Email address *
Expedition Name *
Expedition Dates *
MM
/
DD
/
YYYY
Last Name *
Your answer
First Name *
Your answer
Age of Date of Expedition *
Your answer
Describe your fitness level and training program (if any) :
Your answer
I will be:
Years downhill/alpine skiing/snowboarding/telemarking:
Your answer
Years backcountry skiing/ telemarking/splitboarding:
Your answer
Touring Day Expectations
Activity Priorities *Please note all activities may not be available on all days.
Ski or Splitboard Special Interests
If you listed other above, please clarify below:
Your answer
Do you have any formal avalanche rescue training? *
Do you feel competent to conduct a beacon search in the event of an avalanche? *
Do you have winter camping experience? *
Have you skied before with a daypack, overnight pack or multiday pack? *
What equipment will you be using? (randonee, telemark, splitboard, snowshoe) *
Your answer
Type/Brand of Skis or Board and Boots *
Your answer
Ski Skill Level (1 = Beginner) *
I can perform the following techniques at a 20 degree slope angle: *
Required
I can perform the following techniques at a 30 degree slope angle: *
Required
I can perform the following techniques at a 40 degree slope angle: *
Required
Any additional information you would like us to know about your skill level or experience:
Your answer
Climbing and Mountaineering Skill Level *
The information provided above is a complete and accurate statement of the physical factors which may affect my participation on an Ice Axe Expeditions trip. I realize that failure to disclose any information could result in serious hard to fellow participants and myself. I agree to hold Ice Axe Expeditions harmless if any relevant information is not disclosed. *
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service