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 *Yes to the abovehttps://gearysguiding.com/wp-content/uploads/2023/06/Gearys-Guiding-Waiver.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 abovePlease 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 newsletter?Please click on the confirmation email we send to confirm.Register
