Booking Form

Name *

First Name

Last Name

Phone *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred or Booked Start Date *

MM

DD

YYYY

Emergency Contact *

First Name

Last Name

Emergency contact phone no. *

(###)

###

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Is it ok for us to use photos of you for social media and marketing purposes? *

Yes

No

Please confirm that you have read and understand the following: *

I have read, understood and agree to the terms and conditions.

The BMC Participation Statement say that: The BMC recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions. *

I understand and accept the BMC statement of participation.