Training camp booking form

PERSONAL DETAILS

Name*

First Last

Date of Birth*

Gender*

Female
Male

Email*

Enter Email Confirm Email

Nationality*

Country of residence*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile telephone number*

NB This MUST be the number of the phone you will have with you during the training camp. Please include international dialing code.

What country is your phone registered in?*

EMERGENCY CONTACT

Contact in case of emergency.

Name*

First Last

Telephone number*

Including international code.

What country is this telephone registered in?*

MEDICAL INFORMATION

To validate your booking we require that you inform us of any medical issues or injuries. This information will be kept in confidence.

Medical Issues / Injuries*

Please enter n/a if not applicable.

INSURANCE

All participants must have individual accident insurance which covers search and evacuation costs in Nepal or Italy/Switzerland (as applicable).

PERSONAL ACCIDENT INSURANCE*

I confirm I will have the necessary personal accident insurance to cover search and rescue in Nepal or Italy/Switzerland.

BOOKING

BOOKING DETAILS*

Please indicate which camp you would like to book for.

Mountain running experience*

Please give us some information about your prior mountain running experience!

PAYMENT

Payment will be required to complete your booking. We will be in touch once the camp is confirmed with details of how to make your payment. Thank you.

FURTHER INFORMATION

Questions and comments

We will do our best to answer any questions promptly!

How did you hear about this training camp?*

Credit Card

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