This Application form is for those participants who have already paid their deposit and registered for one of our programs.
This is a simplified form with no financial information included.

If you have not yet registered and placed a deposit for your desired program, you can do so with our standard online application.

You must be at least 18 years of age to use this online application. For those participants under age 18, contact our office

If you have any difficulty using this form please email Climb@AlpineAscents.com with your name and the program you are registered for.

We look forward to climbing with you!

PAYMENT INFORMATION

MEDICAL INFORMATION
Please answer each question in earnest using the fields below. You may also send a separate email to climb@alpineascents.com. Your signature/check mark on this form certifies that your statements are true. Alpine Ascents International reserves the right to refuse service at the your expense due to misrepresentation of biographical information. Please note that medical information will be shared with your guides to assist with any health related issues while on your course or expedition. Signing this form indicates you comply and understand the physical requirements for this program.

Please list any accidents, operations or illnesses you have had in the past:

Please list ALL medications being taken during the trip and reason for medication:

List any and all food or medication allergies:

Please list all dietary restrictions:

Please list your current medical insurance provider:

Describe Medical History From Above

FITNESS/CLIMBING HISTORY

You may email additional information to climb@alpineascents.com

Please describe what you do to keep fit and any/all mountaineering and other outdoor experience you may have. This information is very
useful, as we strive to cater each trip to match individual needs and goals. Signing this form indicates that you understand and comply with the physical fitness requirements for your program.

TERMS AND CONDITIONS

CANCELLATION AND REFUND POLICY: Note: Alpine Ascents International highly recommends trip cancellation insurance for all programs.
Due to the nature and heavy costs of government and operator permits, Alpine Ascents International must adhere to a stringent refund policy. Specific program
cancellation and refund policies may supercede those enumerated below.
• Each deposit, regardless of amount, includes a $200.00 non-refundable registration fee.
• All Expedition balances are due 90 days prior to departure date unless otherwise specified.
• Full refunds, less registration fee, will be provided 90-days or more prior to departure date.
• 50% refunds will be provided 60-89 days prior departure date.
• No refunds will be provided 59-days prior to departure date.
• Participants whose balances are not received by the 90-day deadline as stated above, risk forfeiture of their place on the program.
• All refund requests must be made in writing and be received in our office within the 90-day period, as stated above.
• Specific refund policies apply to Denali, Everest, Vinson, Cho-Oyu, Greenland, Carstensz Pyramid. See trip website for policies.

TRIP CANCELLATION INSURANCE:
We highly recommend purchasing trip cancellation insurance. Alpine Ascents International offers plans in conjunction with Travelex. Detailed policy information
will be sent upon receipt of deposit. Policies available online at www.Travelex-Insurance.com. Enter location #47-0553.

PARTICIPANT RESPONSIBILITY:
Trip participants are responsible for their own well-being. This includes good health and strong physical condition. Participants joining a trek, course or
mountaineering expedition may be required to obtain a physician's release prior to departure. Expedition members are responsible for: knowing all pre-departure
information, preparing proper equipment and clothing, conforming to basic standards of personal hygiene (to minimize the risk of travelers diseases) and acting in
a considerate manner toward all group members and with respect for each country's customs. Participant also agrees to follow the appropriate Leave No Trace
practices. Participants are prohibited from using illegal drugs and alcohol while on AAI courses and climbs. Participant gives their consent for AAI to use their
photograph, likeness and/or voice to be used in its publications, including its website.

AIRLINE RESPONSIBILITY:
The air carrier will not be held responsible for any act, omission or event while the passenger is not on-board the designated aircraft or terminal conveyance.
Passenger/Airline contracts stand in effect while the passenger is on-board each particular aircraft. This applies to all carriers.

CONDITIONS OF CLIMBING EXPEDITIONS, COURSES AND TREKS:
We are committed to helping climbers achieve their personal goals safely and enjoyably.
Alpine Ascents International, Inc., its owners, sponsors, agents, employees, officers, directors, associates, affiliated companies and subcontractors (herein after collectively
referred to as "AAI"), hereby give notice that they act only as agents for hotels, transportation companies, land operators and suppliers of travel services.
AAI assumes no responsibility or liability in connection with the operation or service of any aircraft, motor vehicle, other conveyance, inn, lodge or hotel which
may be used wholly, or in part, for services to Alpine Ascents International, Inc. and its clients. AAI, its operators, airlines and agents will not be responsible for
any act, error, omission, nor for any injury, loss accident, delay, inconvenience, irregularity or damage which may be occasioned by any cause whatsoever. This
includes acts of nature, civil disturbance, government restrictions or failure of any means of conveyance to adhere to published schedule.

AAI reserves the right to change the price of, cancel or withdraw any trek, course or expedition for any reason whatsoever prior to departure. After departure,
AAI reserves the right to alter or omit any part of the itinerary, to substitute hotels or leaders, to change any means of conveyance without notice and without
allowance of refund, with liability for increased costs (if any) borne by the trek, course or expedition members. AAI reserves the right to accept or reject any
person as a trek, course or expedition member at any time.

I understand, and am aware, that during the trek, climb, course or expedition in which I am currently participating, or will participate in, under the arrangements
of AAI, certain risks and dangers may arise including, but not limited to: altitude; steep or treacherous terrain; inclement weather; avalanches, rock fall and other
natural occurrences; misuse, failure or loss of equipment; shortage of food or water supply; the hazards of traveling in politically unstable areas; the dangers of civil
disturbances and war; the forces of nature; acts or omissions of AAI; travel by boat, automobile, train, ship, aircraft or other means of conveyance; and accident or
illness in remote places without access to medical facilities, transportation, or means of rapid evacuation and assistance.

I certify that I am familiar with the dangers, hazards and risks incident to trekking and mountain climbing expeditions/courses as listed above. And I accept and
clearly understand that these hazards and risks may result in personal injuries to myself and others, including paralysis and death, and hereby expressly assume all
of the above risks including, the risks of acts or omissions of AAI, and do hereby expressly agree to hold AAI harmless and defend them against any and all liability.

In consideration of the services furnished me, and to be furnished me as a member of this trek, course and/or mountaineering expedition, I hereby release AAI
and all the members of the trek, course and/or mountaineering expedition from any and all damages, injuries, losses, or any cause of action which may result in
me, my legal representatives or others purporting to exercise statutory or other rights arising out of, or in connection with this expedition. And I hereby assume
each and every damage incident to my participation, and agree to indemnify and hold harmless AAI and all members of the trek, course and/or expedition against
any sums which they, or any of them may be subject to pay in consequence of any claim or demand by or through me, or resulting from my being a member of
this trek, course and/or mountaineering expedition.

PARTICIPANT AGREEMENT, RELEASE, AND ASSUMPTION OF RISK
In consideration of the services of Alpine Ascents International, their agents, owners, officers, volunteers, participants, employees, and all other
persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "AAI"), I hereby agree to release, indemnify, and
discharge AAI, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in a guided mountaineering trip entails known and unanticipated risks that could result in physical
or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated
without jeopardizing the essential qualities of the activity.

The risks include, among other things: the hazards of walking on uneven terrain and slips and falls; being struck by rockfall, icefall or other objects
dislodged or thrown from above; the use of climbing ropes and equipment; the forces of nature, including lightning, weather changes and avalanche;
the risks of falling off the rock, mountain or into a crevasse; the risks of exposure to insect bites; the risk of altitude and cold including hypothermia,
frostbite, acute mountain sickness, cerebral and pulmonary edema; my own physical condition, and the physical exertion associated with this activity.
Furthermore, AAI employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's
fitness or abilities. They might misjudge the weather, or other environmental conditions. They may give incomplete warnings or instructions, and
the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely
voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless AAI from any and all claims, demands, or causes
of action, which are in any way connected with my participation in this activity or my use of AAI's equipment or facilities, including any such claims
which allege negligent acts or omissions of AAI.

4. Should AAI or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify
and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree
to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical
condition I may have.

6. In the event that I file a lawsuit against AAI, I agree to do so solely in the state of Washington, and I further agree that the
substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this
agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by
a court of law to have waived my right to maintain a lawsuit against AAI on the basis of any claim from which I have released them herein.

The following form is also required for all Denali, Alaska, Cascades, Washington and Rainier Programs.
Please skip the release form below if you are going on an international (Outside of the US) program.

National Park Release

VISITOR’S ACKNOWLEDGEMENT OF RISKS

In consideration of the services of Alpine Ascents International their officers, agents, employees, and stockholders, and all other persons
or entities associated with those businesses (hereinafter collectively referred to as “AAI”) I agree as follows:

Although AAI has taken reasonable steps to provide me with appropriate equipment and skilled guides so I can enjoy an activity for which I
may not be skilled, AAI has informed me this activity is not without risk. Certain risks are inherent in each activity and cannot be eliminated
without destroying the unique character of the activity. These inherent risks are some of the same elements that contribute to the unique
character of this activity and can be the cause of loss or damage to my equipment, or accidental injury, illness, or in extreme cases,
permanent trauma or death. AAI does not want to frighten me or reduce my enthusiasm for this activity, but believes it is important for me to
know in advance what to expect and to be informed of the inherent risks. The following describes some, but not all, of those risks:

The following describes some, but not all, of those risks: the hazards of walking on uneven terrain and slips and falls; being struck by rockfall,
icefall or other objects dislodged or thrown from above; the use of climbing ropes and equipment; the forces of nature, including lightning,
weather changes and avalanche; the risks of falling off the rock, mountain or into a crevasse; the risks of exposure to insect bites; the risk of
altitude and cold including hypothermia, frostbite, acute mountain sickness, cerebral and pulmonary edema; my own physical condition, and
the physical exertion associated with this activity.

I am aware that mountaineering, hiking, climbing, and camping entails risks of injury or death to any participant. I understand the description
of these inherent risks is not complete and that other unknown or unanticipated inherent risks may result in injury or death. I agree to assume
and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified. My participation in this
activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks.

I acknowledge that engaging in this activity may require a degree of skill and knowledge different than other activities and that I have
responsibilities as a participant. I acknowledge that the staff of AAI has been available to more fully explain to me the nature and physical
demands of this activity and the inherent risks, hazards, and dangers associated with this activity.

I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full responsibility for myself, including all minor
children in my care, custody, and control, for bodily injury, death or loss of personal property and expenses as a result of those inherent risks
and dangers identified herein and those inherent risks and dangers not specifically identified, and as a result of my negligence in participating
in this activity.

I have carefully read, clearly understood and accepted the terms and conditions stated herein and acknowledge that this agreement shall be
effective and binding upon myself, my heirs, assigns, personal representative and estate and for all members of my family, including
minor children.

National Park Release

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