Application Form Summer - SwisSkiSafari
1903
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Application Form Summer

TRIP DETAILS:
Trip Name/Trip Organisers Name:
Dates - From:
Dates - To:

 

PERSONAL DATA:
Title:
Name:
Address:
Country:

 

Tel Home:
Tel Work:
Mobile:

 

Profession:
Date of Birth:
Email: *

 

If we are providing you with technical equipment for the trip please indicate your height, foot size and weight:
Your height:
Your weight:
Your Foot size:

 

Have you already experienced High Mountain trekking accompanied by a UlAGM qualified mountain guide?
YesNo
If so where have you been trekking in the past?

 

Have you ever experienced "fear of heights"?
YesNo

 

Have you ever walked with crampons?
YesNo

 

Do you have any trekking equipment and if so what equipment do you own?
YesNo
Trekking equipment:

 

Have you ever tried rock climbing and if so what equipment do you own?
YesNo
Climbing equipment:

 

Do you enjoy skiing or winter sports, if so please tic below your preference?
Heli-Ski SafariHeli-Hike SafariHeli-Snowboarding SafariSki SafariHike SafariSnowboading SafariSki TouringMountaineering / Alpine ClimbingHiking / TrekkingBikingSomething special, you tell us
Comments:

 

Do you have any special dietary requirements or allergies?

 

Insurance details - name of company, address & telephone number:
Emergency Contact - name, address, telephone number & relationship:

 

How did you hear about us?
If none of the above please specify here:

 

I confirm SwisSkiSafari Terms & Conditions, including their booking policy and agree to all policies and conditions stated therein.