Sign Up Form

Please complete one application per person.

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Your Information

Name
Address
Home Phone
Work Phone
Cell Phone
E-mail
List Outdoor Experience
How did you learn about Us?

Special medical conditions or allergies to food or medication
Emergency Contact Name
Contact's Address
Contact's Phone
Relationship

Program Information

MOUNTAINEERING PROGRAMS

Mountain

Climb/Course

SMITH ROCK CLIMBING SCHOOL

Program

Climb/Course

Enter Price

$.00 (click View Program Details for pricing info.)

Preferred Trip Dates

Alternate Dates

Rentals

The prices are per day. If you are with us more than 1 day, multiply the number of days per item charge.


		Num. of Days	Item Subtotal
Ice Axe		Days	* $8 per day
Crampons		Days	* $8 per day
Day Pack		Days	* $8 per day
Mountaineering Boots	Size M F	Days	* $12 per day
Rock Climbing Shoes	Size M F	Days	no charge
Helmet		Days	no charge
Harness		Days	no charge

Rental Sub-Total	$.00

Payment

Deposit

$.00

50% deposit required for trip reservation

Trip Total

$.00

Full payment due 60 days before trip start date.

Note: If your trip is less than 60 days away, full payment is needed instead of deposit.

Policies

Before sending your sign-up form, please take a moment to read our cancellation and refund policies listed on our Policies page.

I AGREE:

Click this box to acknowledge that you have read, understand, and agree to TMG's policies.

Once your application is received, we will contact you to
verify the application information and finalize payment.

If you have any questions, please call us at 541-312-9242.

You will also need to read and sign our liability waiver and risk agreement prior to
participating in any Timberline Mountain Guide trips or activities. The link to this form is below.

Liability Waiver (PDF)

Non-Discrimination Clause

P.O. Box 1167, Bend, OR 97709
Phone (541) 312-9242 Fax (541) 312-9225
info@timberlinemtguides.com