Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone number *Emergency Contact Name *Emergency Contact Phone number *Trip/Course name *Trip/course date(s) *I meet the pre-requisites for the trip/course *Yes to the aboveI agree to Gearys Guiding's Booking Conditions *Yes to the abovehttps://gearysguiding.com/booking-conditions/I have read and agree to Gearys Guiding's waiver (and the AST Student Release if taking an AST Course) *Yes to the abovehttps://gearysguiding.com/wp-content/uploads/2024/07/Gearys-Guiding-Waiver-2024-06-24.pdf https://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 or drug allergies:Is there anything else we should know about? (eg. previous injuries, fears/anxieties, medical conditions or medications)Privacy Agreement *I consent to having my information stored as described in Gearys Guidings Privacy PolicyOur Privacy Policy is located in the “About” menu. You can unsubscribe at any time by clicking the link in the footer of our emails.Sign up to our mailing list for new trips and last minute openingsPlease click on the confirmation email we send to confirm your subscriptionCustom Captcha * = Register
