Booking Form

Please fill in the enrolment form as thoroughly as you can. The details provided need to be for the person who will take part on the trip. Any information you provide will be treated as strictly confidential.

Trip DetailsRequired Field

Which trip would you like to enrol for? Please take care to select the correct trip, as the required information on the form will change accordingly.
Trip:
Description:
Start date: Please use format "day/month/year"
End date: Please use format "day/month/year"

Contact DetailsRequired Field

How can we contact you about your booking?
Name:
Email: Proper format "name@something.com"
Phone:
Address:

Emergency Contact DetailsRequired Field

Who should we contact first in the event of an emergency?
Name:
Relationship:
Phone:
Address:

Personal & Medical Details

Please provide the following information about your health and fitness which may affect the adventure you are going to undertake. Please check the appropriate answer and answer all questions - this is for your own safety.
Date of Birth: Please use format "dd/mm/yyyy"
Occupation:
Height: Please only enter numbers
Weight: Please only enter numbers
Gender:
Boot size: (size chart)

NZAC number
(or affiliated alpine club):

A) Do you/have you suffered from any of the following:
— a heart condition?
YES NO

— high blood pressure?
YES NO

— epilepsy?
YES NO

— a bronchial disorder?
YES NO

— asthma?
YES NO

— diabetes?
YES NO
B) In the last five years, have you:
— suffered any severe injury?
YES NO

— undergone any surgical operation?
YES NO
C) Do you have any known allergies?
YES NO
D) Are you taking any medication?
YES NO
E) Do you suffer from any other medical condition(s) which might affect your ability to participate in this trip? Eg. any recurring sports injury?
YES NO
If you have answered "Yes" to any part of A) to E) above, would you please elaborate?

Dietary Requirements

Please indicate if you are vegetarian or have any specific food allergies or intolerances. If you have additional dietary requirements or concerns, please contact us directly.
Drinks preference (please choose up to 3): coffee (filter) coffee (instant) hot chocolate raro/tang tea (black) tea (herbal/fruit)

Fitness & Experience

Please provide the following information about your outdoor experience and fitness. Please check the appropriate answer and answer all questions.
Answering NO to any of the questions does not necessarily preclude you from participating.
How many years tramping/hiking/backpacking/bushwalking experience do you have?
List the 2 hardest overnight hikes you have done in the last 5 years:
Have you done an overnight hike before?
YES NO
Can you walk 4-6 hours in a day without difficulty?
YES NO
Can you walk 6-8 hours in a day without difficulty?
YES NO
Can you walk 8-10 hours in a day without difficulty?
YES NO
Are you able to climb up and down steep slopes without fear of heights?
YES NO
Can you clamber up and around big rocks where you may need to use both hands?
YES NO
Do you have good balance and are you well-coordinated?
YES NO
Are you able to climb up 300 vertical metres within an hour?
YES NO
Are you quick and nimble on your feet in order to be able to descend loose gravel and scree slopes?
YES NO
Have you hiked off-trail before, over uneven, rugged terrain?
YES NO
Have you hiked off-trail before, over uneven terrain?
YES NO
Do you have any rock climbing experience?
YES NO

If so, up to what grade?
How often have you used crampons?
Please give full details of your previous climbing experience (including any ascents) and current fitness training.
How would you rate your skiing/snowboarding ability?

Accommodation

For trips starting and finishing in Tekapo Village, it is advisable that you book your accommodation as soon as possible as it can often be difficult to find vacancies in Tekapo due to its increasing popularity as a tourist destination. As a client on an Alpine Recreation trip, you have the option to book our guest accommodation in Tekapo Village for the nights before and after your trip.

→ Edelweiss Lodge & Studio - room options, rates and vacancies
Would you like to book accommodation with us in Tekapo the night before your trip? Self-help continental breakfast included.
Would you like to book accommodation with us in Tekapo the night after your trip? Self-help continental breakfast included.

Equipment

Please indicate if you would like to hire any of the following equipment for your trip/course.
Would you like to hire skis? Please indicate which length you normally ski on. NZ$100 per trip/course service fee applies.
Unfortunately we do not yet have split-board equipment available to rent - boarders must supply their own.
Please indicate which avalanche rescue equipment you need or whether you will be bringing your own.
Please ensure any avalanche rescue equipment you are bringing is modern and in good working order. Shovels must be metal.

Optional Extras

Please indicate if you would like to purchase any of the following resources for your course. You can collect them from our office at the start of your course, or we can post them to you ahead of time (additional charge for postage).
Please provide a postal address:
Technical Manual - NZ$25
Avalanche Awareness - NZ$25

Terms & ConditionsRequired Field

I certify that the information I have provided on my enrolment form regarding Medical Condition/s or other information is correct.
I have read and understand the Risk Disclosure and agree to its terms and conditions.
I accept the Booking Conditions and have read the Bad Weather Policy. I acknowledge that Alpine Recreation cannot refund any trip fees if a trip has to be cancelled after commencement due to unforeseen and uncontrollable circumstances (inclement weather, bad road conditions etc.). If I choose to cancel a trip, I will pay the appropriate cancellation fee as set out in the Company's Booking Conditions.
I agree that if I damage the Company's equipment beyond normal wear and tear or lose their gear on a trip, I will be liable for replacement or repair costs as the directors of the Company decide.
In order to secure this booking a deposit is required. The balance of the trip price is due 60 days before departure date.
Clicking 'Submit Form' will send us your enrolment information and will take you to the Payment Options page.

Booking Form

Trip DetailsRequired Field

Contact DetailsRequired Field

Emergency Contact DetailsRequired Field

Personal & Medical Details

Dietary Requirements

Fitness & Experience

Accommodation

Equipment

Optional Extras

Terms & ConditionsRequired Field