Mountaineering Club Expedition Admission Form
Apply to join our upcoming mountaineering expedition. Please complete all fields to help us assess your readiness and ensure your safety.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please indicate your previous mountaineering experience
*
Do you have any relevant certifications? (e.g., First Aid, Mountaineering, Wilderness Survival)
Please list any medical conditions or allergies we should be aware of
*
Are you currently physically fit and able to participate in a strenuous mountaineering expedition?
*
Yes
No
Which expedition dates are you applying for?
*
Please Select
Spring Expedition (March-April)
Summer Expedition (June-July)
Autumn Expedition (September-October)
Winter Expedition (December-January)
Other
Which of the following essential equipment do you have and are prepared to bring? (Select all that apply)
*
Mountaineering boots
Climbing helmet
Harness
Crampons
Ice axe
Sleeping bag
Tent
Other
Please upload a recent photo of yourself (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Signature (please sign to confirm your agreement and application)
*
Submit Application
Submit Application
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