Rex Simpson Hut Booking Form

Please ensure you have read the Rex Simpson Hut information and instructions before booking.
Please contact Alpine Recreation with your requested dates before you book and pay a deposit.

Group Details

Group name

Start date

End date

Group Members

Name

Group Leader

NZAC / CMC #

Group Leader

Name

Member 2

NZAC / CMC #

Member 2

Name

Member 3

NZAC / CMC #

Member 3

Name

Member 4

NZAC / CMC #

Member 4

Name

Member 5

NZAC / CMC #

Member 5

Name

Member 6

NZAC / CMC #

Member 6

Contact Details

the address you'd like receipts and information sent to

Phone

your home / work landline number

Mobile

the number we can contact you while on the mountain

Address

postal address

Terms & Conditions

By checking this box, I accept full responsibility for my group's actions while in the Mount Gerald ski touring / tramping area and will be fully liable for any damages to farm property or to Rex Simpson Hut. I have read the instructions for the use of Rex Simpson Hut and agree to abide by them.

I agree to the Terms & Conditions

'I agree to the Terms & Conditions' is required