Elemental Adventure: The Heliski Specialist

Booking Form

For your convenience and to ensure your holiday runs as smoothly as possible, we would be grateful if you and your party would each complete this form.

Booking Form

Personal Details

Title

First name

Last name

Address line 1

Address line 2

City

County

Country

Postcode/Zip

Telephone (Mobile)

Telephone (Work)

Telephone (Home)

Facsimilie

Date of Birth

Weight

How did you hear about Elemental Adventure?

Passport Details (for Himalaya & Russia trips only)

Passport Number

Passport Expiry Date

Nationality

City Issued From

City where you will apply for visa

Additional Details

Destination

Dates of Trip to

Single Occupancy (supplement usually required)

Yes No

Do you ski or snowboard?

Ski Snowboard

Medical conditions or medication we should be aware of

Do you have any special dietry requirements/requests?

Requested room mate(s)

Insurance Details

Do you have insurance that covers you for heliskiing, medical and cancellation?

Yes No

Being adequately insured is a condition of booking a trip with Elemental Adventure. For details of our policy, please click here

Emergency Contact Details

Emergency Contact

Relationship to you

Telephone

Declaration

I have read the information contained on this website and the full terms and conditions and agree to all terms, procedures and policies stated therein.

Privacy Policy: your privacy is important to us. We will not, under any circumstances, share any of the information you provide to any 3rd parties without your prior consent.

Read Terms & Conditions

Tick box to agree

Travel insurance specifically designed for heliskiers

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