Medical and Booking Form

Name

Mobile phone number

Date of Birth

Dietary requirements and food allergies *

Medical details:

Emergancy contact details

Waist and shoe size* (For harness, rock shoe and crampon fotting)

Previous experience: Please outline any relevant previous experiene including brief outline of your current fittness level and any specific aspirations for the course.

Participation Statement

Mountaineering, Ski touring, Off-piste and associated adventurous activities, by their nature, involve an element of risk, which cannot be totally eliminated. Every care is taken to ensure the safety and well being of participants. However, adventurous activities do involve the acceptance of risk and of responsibility for the consequences of one’s actions.

I have read and agreed to the above participation statement

Thanks for submitting!