Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Trip/Course name *Trip/course date(s) *Name *FirstLastEmail *Phone number *Emergency Contact Name *Emergency Contact Phone number *I meet the pre-requisites for the trip/course *Yes to the aboveYou’ll find these on the page for the course or trip you’re joiningI agree to Gearys Guiding's Booking Conditions *Yes to the abovehttps://gearysguiding.com/booking-conditions/I understand I need to sign the online waiver then send payment to complete my booking *Yes to the abovehttps://waiver.smartwaiver.com/w/aubfjpsquqfme1sxrgaqvv/web/If registering for an AST Course, I have read and agree to the AST Student Release (link below): *Yes to the abovehttps://avalancheca.cdn.prismic.io/avalancheca/7f48ffe8-0cd7-41df-bf8b-1030cff9365c_Fe+12RELEASE_AST+Student_Sept2023.pdfI have reviewed the equipment list on the trip/course page (or email) *Yes to the aboveI understand the inclusions/exclusions on the trip/course page (or email) *Yes to the aboveMedical & Rescue Insurance *I have travel medical and rescue insurance (recommended), orI don’t have medical or rescue insurance and I understand I may have to pay for a very expensive billPlease 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 NameFamily Doctor phone numberMedical Insurance Name and numberThis 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.Privacy Agreement *I consent to having my information stored as described in Gearys Guidings Privacy PolicyOur Privacy Policy is located in the “About” menu on the home page.Sign up to our mailing list for new trips and last minute openingsPlease click on the confirmation email we send to confirm your subscription. You can unsubscribe at any time by clicking the link in the footer of our emails.Custom Captcha * = Register
