register trip details

Please use this form if you are not needing to hire radios but would like your trip to be monitored.

All fields with asterisks must be completed.

Name

First Name

Last Name

Email Address

Your Contact Phone Number

Club Name (if applicable)

Number of people in your party

Name of the person in charge of the group (if not you)

First Name

Last Name

Phone number of person in charge

Where are you going?

Trip start date & time?

Trip end date & time?

Are you self monitoring?

Yes

Does anyone in your party have medical issues

If so, please detail them here

What are the forecast weather conditions?

IN CASE OF EMERGENCY

What is your overrun time allowance?

Emergency Contact (who will not be with you)

First Name

Last Name

Emergency Contact's Contact Phone Number

We give you consent to share our information with authorities in case of emergency

Yes

We have read and understood the disclaimer

Yes