Alpine Recreation logo
Alpine Recreation logo

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.

  • Please use format "day/month/year"
  • Please use format "day/month/year"
  • Contact DetailsRequired Field


    How can we contact you about your booking?

  • Proper format "name@something.com"
  • Emergency Contact DetailsRequired Field


    Who should we contact first in the event of an emergency?

  • 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.

  • Please use format "dd/mm/yyyy"
  • Please only enter numbers
  • Please only enter numbers
  •  (size chart)
  • A) Do you/have you suffered from any of the following:






  • B) In the last five years, have you:


  • 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 other dietary requirements.

  • 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.



  • 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).

  • Terms & ConditionsRequired Field


  • In order to secure this booking a NZ$500 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.