Please complete one form per person, thank you.

Personal Details
Name *
Name
If you require climbing shoes for your course please sate your size here
Transport *
Where possible we may be able to provide transport to & from our course meeting point to wherever we are heading for the day. However due to logistics and available seats this isn't always possible and so in such an instance you will be required to provide your own transport/vehicle to the venue. As such please can you let us know in advance if your likely to require transport and can you confirm this with us one week prior to the course start date.
Medical Information
Please note- your emergency contact must not be any person who is attending the course with you.
This Information will be kept confidential and will only be shared with the instructional staff working on your course.
Under 18's
Please note Under 18's must be accompanied by a parent or guardian at all times during the course.
Declaration
1) I acknowledge that climbing and mountaineering are activities with a danger of personal injury or death, I accept these risks and will be responsible for my own actions and involvement. 2) I accept, and will follow, Summit Ascents Safety procedures and instructions during the course. Failure to do so may result in no longer being able to participate in the course and that in this event no refund will be given. 3) I authorise Summit Ascent to approve any medical treatment that is deemed necessary in an emergency. 4) I agree to the use of any photographic material, taken during the course, to be used by Summit Ascent for marketing purposes. *
Terms and Conditions and Safety Policy *
Please read our Terms and Conditions and Safety Policy (listed below)

Full details of our Terms and Conditions and Safety Policy are available here  .