Registration Form IBT | Gearys Guiding

Trip/Course name

Trip/course date(s)

Name

First

Last

Phone number

Emergency Contact Name

Emergency Contact Phone number

I agree to Gearys Guiding's Booking Conditions

Yes to the above

https://gearysguiding.com/booking-conditions/

I understand I need to sign the online waiver then send payment to complete my booking

Yes to the above

https://waiver.smartwaiver.com/w/aubfjpsquqfme1sxrgaqvv/web/

I have read and agree to the AST Student Release (link below):

Yes to the above

https://avalancheca.cdn.prismic.io/avalancheca/7f48ffe8-0cd7-41df-bf8b-1030cff9365c_Fe+12RELEASE_AST+Student_Sept2023.pdf

Medical & Rescue Insurance

I have travel medical and rescue insurance (recommended), or
I don’t have medical or rescue insurance and I understand I may have to pay for aspects of a rescue

Please describe any dietary requirements, food allergies and drug allergies:

Is there anything else we should know about? (eg. previous injuries, fears/anxieties, medical conditions or medications) or do you have any questions?

Family Doctor Name

Family Doctor phone number

Medical Insurance Name and number

This is your travel medical insurance such as Global Rescue for out of country trips, or MSP if you’re a Canadian doing a trip in Canada.

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