Trip Enquiry

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Trip Name(*)

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Number of Adults(*)

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Title(*)

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First Name(*)

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Surname(*)

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Date of Birth

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E-mail(*)

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Telephone

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Please describe your recent walking or outdoor experience

List previous high altitude treks you have done with dates and describe any medical problems experienced at high altitude

Please describe your present fitness level and any training you intend to do before departure

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Name

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Describe if you have any medical or psychiatric conditions. List all previous and planning surgical procedures

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Do you have any dietary requirements or allergies?

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Do you have any questions at this point or require any further information on the trip?

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Have you read the day by day itinerary in the Trip Dossier and the definitions of the difficultly grade level for the selected trip?(*)

Yes

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I have read and accept the terms and conditions

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