Pre-Course Form

First and Last Name*

Email*

Phone Number*

Program I am Registered for*

I have read the waiver for the course I am registered in, I understand it and I have no questions.*

Yes
No

I agree to the terms of the waiver

Yes
No

I have read the COVID19 Policy and agree to follow it.*

Yes
No

I understand that I am required to have functional equipment in the field and am required to test if beforehand to avoid failure.*

Yes
No
NA

I take responsibility for the rescue associated with equipment failure and understand that the instructor cannot abandon the objectives of the course for my malfunction.*

Yes
No
NA

I am confident with my physically fitness to enter the backcountry and do not have any underlying health concerns that could pose a risk to safety on the field day.*

Yes
No
NA

I agree to maintaining a safe and respectful environment for all participants and will not display any inappropriate images or language for both in person and virtual programming*

Yes
No

If you selected no for any of the form fields please explain below.

Phone

This field is for validation purposes and should be left unchanged.

Pre-Course Form

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	591 Kimberley BC, V1A 2A6, Canada
	(250) 427-6436
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