Booking Form

Personal Details

First Name (required)

Surname (required)

Date of Birth (required)

Address (required)

Your Email (required)

Home telephone (required)

Mobile Number (required)

Next of Kin

Name (required)

Relationship (required)

Mobile and other contact details

Guided Activity/Course

Activity/Course Name (required)

Activity/Course Dates (required)

If in a group, names of the other members

Your mountain experience

Please give a brief outline of your skiing / mountaineering / climbing experience

Insurance

I have arranged cancellation, mountain rescue, medical and repatriation insurance for unrestricted Alpine mountaineering, ski touring or off-piste skiing as appropriate, in Europe.I would like further information on the insurance that is available

Medical History

Please describe any relevant medical conditions that may affect your performance in the mountains

Payment by bank transfer (details will be emailed to you)

Payment by cheque

* I confirm that I have read the terms and conditions Terms available here