Registration

Participant Form

Fill in your details below. Once complete, sign and download the PDF to send to us.

Personal Information

Full Name Required

Date of Birth Required

Gender Required

Nationality Required

Address Required

Phone Number Required

Email Required

Passport Details

Passport Number Required

Issue Date Required

Expiry Date Required

Medical & Dietary

Medical Conditions, Allergies, Medications, Mobility Limits & Injury History Required

Dietary Restrictions Required

Emergency Contact

Contact Name Required

Relationship Required

Contact Phone Required

Acknowledgements

Assumption of Risk. I understand that hiking in alpine and mountainous terrain involves inherent risks including, but not limited to, injury, illness, and death. I voluntarily assume all such risks and release the trip organisers, leaders, and affiliated parties from any and all liability arising from my participation. Media Release. I grant the organisers permission to use photographs and videos taken during the trip for promotional, social media, and commercial purposes. I understand I may appear in these materials and waive any right to compensation or prior approval.

Signature

Your Signature

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