Fill in one form per person.
* fields are mandatory
Your name *
Address *
Your telephone *
Your mobile *
Your email *
Person we can contact in the event of an emergency *
Their telephone number *
Activity *
Other members of group *
Start date
*
End date
*
Total cost *
Are you undergoing medical treatment, or do you have any disability? YES/NOyesno *
If YES, please supply details. It is essential that we know of any medication or condition which may be affected by mountain activities and high altitude.
I have read, understand and agree to all terms and conditions.
I recognise that mountain activities are dangerous and can cause serious injury or death.
I am arranging cancellation, medical, repatriation and rescue insurance relevant for my activity/course.
Initial payment options I agree to pay a 50% non-refundable deposit within 7 days by cheque or BACS transfer. or I am paying in full by cheque or BACS transfer.
Accommodation in Snowdonia
Previous experience of activity
Where did you hear about Llanberis Guides
Equipment required (that we can provide) Rock boots (size) Helmet Harness Crampons Ice axe
Please give any equipment requirement details (boot size etc)
Please select your current activity plus those of any further interest to you Rock climbing Ice climbing Alpine climbing Ski touring Off-piste skiing/boarding