RMH EVENT REGISTRATION FORM 2020
Event Type: Mount Elbrus Climbing Expedition. Season 2020
Event Location: The 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 our trips and programs, dates and pricing, please contact Vitaly Stegno at +7 (928) 225-55-15 via WhatsApp or phone call, or at info@russianmountainholidays.com
First Name *
Second Name *
Email *
Country of Residence *
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
For climbing Mount Elbrus, we recommend having basic previous climbing experience in winter conditions and 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? *
Please, list what exactly you might need to hire?
MEDICAL INFORMATION
Full Medical Check and a Medical & Evacuation Insurance are mandatory for this trip.
Do you have a 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. If not, that means we are climbing in the mountains away from the Internet connection, and we'll contact you back as soon as possible! 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.