Please note that many of our programs take place in remote settings, where rescue may be difficult and definitive medical care can be far away. We use the information on this form to help us be sure that you have signed up for an appropriate trip with respect to your experience and ability level; and to aid us should a problem arise. In addition to filling out this form completely, we ask that you speak with one of our staff to help match your goals, physical conditioning, and experience to a trip which is appropriate for you. For some trips, you may be asked to consult a physician. Thank you for taking the time to provide us with complete information.
Please describe relevant prior related experience.
Please list any medical issues and/or restrictions we should know about:
Any additional questions or information, comments, and/or goals for your trip?
How did you hear about SYMG?
Please enter no. of additional travelers