Peak Mountain Guides | Register
Peak Mountain Guides
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Online Registration Form

Please complete the form below to register for your program

Online Registration Instructions

To register for your program using our online registration form please complete the fields below. In order to process your registration it must be accompanied by a deposit or full payment. After completing the registration form you will be directed to our online payment page where you can make a payment with Visa, Mastercard, or Discover. If you are registering for a program more than 60 days in advance a 50% deposit is required. If you are registering for a program less than 60 days in advance the full payment is required. By submitting your registration and payment you are agreeing to our Terms and Conditions.

Once we receive your registration and payment we will contact you to confirm your program. We will also send you a program packet with an equipment list, information about meeting place and time, and other information to help your trip preparations go smoothly.

If you have any questions, please contact us. Our goal is to make your climbing or skiing experience well coordinated and rewarding, beginning right from the start with your reservation. We can be reached at or .

Note: Once you start the registration form please do not navigate away from the page until you have clicked the "submit" button at the bottom. If you leave the page before completing the form your information will not be processed. Thank you.

Program Information
Participant Information
Parent/Guardian Information (if applicant is under 18)
Emergency Contact Information
Family Information

For family programs we allow one family member to register for the entire group. Please list the name(s) and age(s) of additional participants below.
Children must be at least 6 years old to participate.

*NOTE ON FAMILY REGISTRATIONS: If one person registers for an entire group they become responsible for all payments and for providing complete medical and personal information for all group members. The person registering also becomes responsible for ensuring all group members review the Terms & Conditions and the Liability Release, Waiver and Indemnification, and Express Assumption of Risk (the "Release"). Each participant will be required to sign the Release on the first day of the program.

Outdoor Experience

(*Required)

Please provide a description of your outdoor experience including backpacking/hiking, mountaineering and climbing, resort and backcountry skiing, cold weather camping, or anything you feel is relevant to this program. Please note whether trips were guided or personal.

Participant Medical Information


Do you have any dietary restrictions and/or preferences?

Do you have any allergies to food, medication, or insect bites and stings?

What is your reaction to the allergy and what medications are required (if any)?

Please list any medications you will be taking during this program and describe why you are taking them.


Do you have, or have you had, any of the following conditions? (Check all that apply)

High blood pressure

Heart disease

Irregular heartbeat

Family history of heart attack

Seizure disorder

Respiratory Problems

Asthma

Joint problems (knee, shoulder, etc.)

Altitude related illness

Musculoskeletal injuries

Fainting or diziness

Frostbite

Circulation problems

Headaches

Head injury

Gastrointestinal problems

Blood disorder

Diabetes

Neck or back problems

Currently pregnant

Recent surgeries

Chronic illness

Other


If you answered "Yes" to any of the above items, please explain each in detail.

In the past five years, have you had any major accidents, illnesses, or operations? If yes, please describe.

Please note any other physical limitations or medical conditions that might restrict your full participation in this program.

Please list the activities you engage in daily or weekly that indicate your current fitness level.

What special things will you be doing to prepare for this program?

Insurance Information

Do you have medical insurance? If yes, please supply the information below.

Other Information

How did you hear about Peak Mountain Guides?

Terms and Conditions

In order to register for a Peak Mountain Guides program you must read, understand and accept the following:

Click the above links to read and print these documents.

By checking this box I confirm that I have read, understand, and agree to the Terms and Conditions and the Release.

 
AMGA Certification
Peak Mountain Guides staff members Angela Hawse, Geoff Unger, and Tim Brown are AMGA certified American Mountain Guides and IFMGA internationally licensed guides.

Peak Mountain Guides LLC | 280 7th Avenue | PO Box 1025 | Ouray, CO 81427 | 970-325-7342 | info@peakmountainguides.com

IFMGA internationally licensed guides