We apologize if it is an inconvenience but due to a system glitch, we ask that you please complete this online registration in the Google Chrome browser or download the pdf version below.

How to Sign Up

Many of our expeditions have limited space and fill up quickly. To determine if space is available, please email info@mountaintrip.com or call us at

1-970-369-1153

Please register by using our online application or by a printing an application and returning it to us via post, fax or email.

TO APPLY ONLINE

To provide you with the highest levels of service and safety, we need to ask for a lot of information. Please fill in all applicable fileds to the best of your ability. Required fields are noted with red asterisks.

PRINTABLE APPLICATION

If you would prefer to mail, fax or email an application to us please contact the office for printable registration documents.

If you have any questions, please contact us at:
1-970-369-1153
or email us at
info@mountaintrip.com

Trip Application


Personal Information


Name
Trip
Shipping Address
Billing Address
Parents/Other Permanent Address
Internet
Phone Numbers
Personal Information
Emergency Contact
Primary
Secondary
Medical Certifications

Please email us a PDF copy of your certification for our files.

Physical Fitness

Climbs Outside of Your Country of Origin

Passport Information

Food Preferences

Preferences

Every effort will be made to accomodate food likes and dislikes. Please let us know your preferences.

Food Allergies

Trip Information

Please answer each question as thoroughly as possible.

Trip Application


Trip Information


Previous Climbing History
Denali:
Aconcagua:
Vinson Massif:
Carstensz Pyramid:
Mt Elbrus:
Mt Everest:
Mt Kilimanjaro:
Denali
Aconcagua
Vinson Massif
Carstensz Pyramid
Mt Elbrus
Mt Everest
Mt Kilimanjaro
I'm interested in all 7 Summits! (i.e. check all)
Specific Climbing and Outdoor Experience
Ascenders
Crampons
Ice Axe
Glacier travel
Winter camping
Rock climbing
Carrying heavy packs (>50 lbs/20 kg)
Belaying/Belayed
Ice climbing
Climbing over 5,000 meters elevation
Gear For Rent

Mountain Trip has the following gear for rent (contact us for pricing).

Snowshoes
Crampons
Ascenders
Backpack
Down Parka

Marketing
Internet
Publication
Friend
Return Client

Medical Information

Please answer each question as thoroughly as possible.

The information provided to Mountain Trip on this form is provided for three purposes.

  1. We may need the information on this form if you suffer an illness or injury on the expedition.
  2. We want you to see a physician and have your physician’s approval before undertaking the expedition. We will not made decisions concerning your health or fitness to undertake that trip. That is a decision between you, your spouse and your physician.
  3. While we have no intention to release any of this information, please recognize that you are waiving your rights under the Health Insurance Portability and Accountability Act (HIPAA) and any state HIPAA laws. We may need to share your medical information if you suffer an illness or injury on the trip.

Health Insurance Portability and Accountability Act (HIPAA)

I hereby forever waive, discharge and release any rights I have under the Health Insurance Portability and Accountability Act (HIPAA) for the information I have provided above as well as any information that I may provide to Mountain Trip, its guides, employees, contractors, or third parties. I understand that this is being done for my safety and well being as well as the fact that my medical information cannot be kept confidential on a mountainous rescue scenario. I promise not to sue Mountain Trip for any release of my medical information at any time to anybody.

*By typing my name below, I acknowledge that signing this form electronically under the Federal (15 U.S.C. §§ 7001) and Colorado (C.R.S. 24-71-101) Electronic signature act is the same as signing the form in writing..

Trip Application


Medical Information


Physical Information
Medical Information
Checklist
Allegies to medications
Dislocated joint
Back, knee, or shoulder problems
Heart disease
High blood pressure
Diabetes
Asthma
Epilepsy
Other allergies
Depression
Other mental illness problems
Do you smoke
Altitude Related Illness
Cold Related Injuries
Medical Training

Terms and Conditions & Assumption of Risk

Please read each disclosure and sign each signature block.

Trip Application


Terms and Conditions & Assumption of Risk


No trip has been chosen yet. Please select a trip from the first page of the application to see the appropriate waivers.

Trip Disclosures

There are 4 signature blocks below. Please read each disclosure and sign each signature block.




EXPEDITION REGISTRATION PACKET

Thank you for applying to Mountain Trip to provide you with mountain guiding services. The process of applying for a position on an expedition requires that you sign several documents, consisting of the following pages:

  1. This cover page
  2. Application (Personal Information)
  3. General Agreement Concerning Services to be Provided and Responsibilities of Team Members
  4. Fee Schedule, Refund and Cancellation Policy
  5. Medical Information
  6. Participant Agreement, Release and Assumption of Risk
  7. All Alaska trip participants must read and sign the Visitor’s Acknowledgment of Risks.

To secure a position on one of our teams, you must read all of these documents, provide the necessary information, and return them to us with a deposit for the expedition. Copies of these documents are also available on our website. Please feel free to contact us with any questions about the application process. If you are filling out these documents electronically, please note that all fields in red are required.

General Disclosures, Disclaimers and Agreements

  1. You understand that before you will be accepted on this expedition you will be signing a Release Form or an Acknowledgement of Risk, which releases you and your family from any right to sue Mountain Trip for injury, death or loss of property.
  2. We are not travel agents and are not providing travel services. We are recommending travel agents for you to use who have experience booking travel to the far reaches of the ld where our company works, however we cannot accept liability for any of your travel. Travel to and from the expedition is incidental to the expedition.
  3. All documents you sign are incorporated herein by reference.
  4. The terms of this agreement and all other agreements shall continue and be in effect after the expedition has ended. All changes or alterations to this document must be in writing and approved by both parties. No changes to the face of any document are valid.
  5. Even though you have been accepted on to the expedition, Mountain Trip and the trip leader may at any time remove you from the expedition for reasons including: your health and safety, the team’s health and safety or for failing to follow expedition rules or any government or government agency laws, rules or regulations.
  6. Each of the accompanying documents contains important information that you need to read and understand. You agree to the terms and assume the risks set forth in the documentation, website and other information that Mountain Trip has provided, including the relinquishment of legal rights in the various documents.

By typing my name below, I acknowledge that signing this form electronically under the Federal (15 U.S.C. §§ 7001) and Colorado (C.R.S. 24-71-101) Electronic signature act is the same as signing the form in writing.




General Agreement Concerning Services to be Provided And Responsibilities of Team Members

You are registering for an expedition with Mountain Trip. This page is intended to help make sure you understand the services we are providing and the services you are responsible for.

Transportation is incidental

The main purpose of becoming a team member is to join us on an expedition in the mountains. As such any transportation we provide or that you may contract for on your own is incidental to the trip.
We suggest that you make sure you have time built into your itinerary for delays.

Transportation to and from your destination

We will designate a specific Meeting Day for your expedition. Transportation to the meeting point on your Meeting Day is to be provided by you. You must arrive in time to be ready to participate in a team meeting at the appointed time on the Meeting Day for your expedition. Expedition climbing is very dynamic and we will provide you with a recommendation as to when you should book your flights to and from your destination. We suggest you book a ticket that allows you to change your flight with little effort or cost.

Lodging off the mountain

For some expeditions, Mountain Trip provides lodging before and/or after the mountain portion of the expedition. Any lodging provided will be clearly outlined in the expedition itinerary. Any additional lodging beyond what is included in the expedition itinerary is your responsibility.

Mountain Trip will provide the following services:

  • Lodging and transportation per the itinerary for your expedition
  • All food and group gear while in the mountains.
  • Our experienced guides
  • **You are responsible for any extraordinary transportation needs

Responsibilities of Team Members

You are ultimately responsible for your own well-being, including making all necessary preparations to ensure good health and physical conditioning. You are responsible for understanding the conditions that may exist on the climb and choosing a climb that is appropriate for your abilities and interests. You are responsible for having knowledge of all pre-departure information and for assembling the appropriate clothing and equipment for your climb. While on the expedition, team members are responsible to maintain basic levels of hygiene and to conduct themselves respectfully with other team members and members of the local population. If a guide feels that a team member is putting other members’ health or safety at risk, the guide has the discretion to remove a team member from an expedition. Use our office staff and your lead guide as pre-trip resources to ensure that all your questions are answered. Travel insurance may help recoup expenses if you need to leave an expedition due to an illness.
Airline Responsibility Passenger/Airline contracts are in effect while team members are on board any aircraft contracted for use in the expedition.

By typing my name below, I acknowledge that signing this form electronically under the Federal (15 U.S.C. §§ 7001) and Colorado (C.R.S. 24-71-101) Electronic signature act is the same as signing the form in writing.




Refund Policy

Fee Schedule, Refund and Cancellation Policy

Mountain Trip recognizes how difficult and disappointing it can be for climbers who must cancel expeditions which they have planned for a long time. Team members must also recognize that, due to the nature of planning expeditions and dealing with governmental permits and regulations, Mountain Trip also accrues significant expenses in the months prior to expedition departure dates. We must therefore adhere to a strict refund policy for all climbers. We strongly recommend trip cancellation and travel insurance for all expeditions. U.S. and Canadian residents should contact us for more information regarding travel insurance. Our refund and cancellation policy is outlined below; however, as noted, certain trips may require specific policies that supersede those listed below.

  • All expeditions require a deposit to secure a spot on the team. Your submission of a deposit constitutes your acceptance of this Fee Schedule, Refund and Cancellation Policy.
  • All deposits for expeditions include a non-refundable adminstration fee (We highly recommend that you consider Trip Cancellation Insurance to protect the administation fee, if not the entire cost of your climb).
    • Denali & private Alaska trips requires a $1500 deposit ($750 administration fee).
    • Mount Vinson requires a $7000 deposit ($1500 administration fee).
    • Carstensz requires an $8000 deposit ($1500 administration fee).
    • Aconcagua and Elbrus require a $1500 deposit ($750 administration fee).
    • Alaska Range courses require a $750 deposit ($250 administration fee).
  • Final payments for expeditions must be received 120 days prior to the Meeting Day.
  • Failure to pay expedition fees by the date they are due constitutes cancellation of your spot on the team and forfeiture of your deposit.
  • Any cancellation 120+ days before your Meeting Day will be refunded in full, less the administration fee.
  • If you cancel 120-90 days before your Meeting Day, you are eligible for a refund of 50% of any monies paid, less the deposit.
  • No refunds will be provided for cancellations occurring within the last 89 days prior to an expedition.
  • All requests for refunds must be made in writing and received in our Colorado office.
  • If you register for a climb within 90 days of the Meeting Date, expedition fees will be due in full to secure your spot on the team.
  • Mountain Trip reserves the right to cancel an expedition prior to the departure date for any reason. In such an event, all monies collected by Mountain Trip from team members for that expedition shall be promptly refunded. This is the extent of our financial liability.
  • North Side of Denali and some private expeditions are subject to additional terms and conditions that supersede those stated above.

I agree to the above stated Fee Schedule, Refund and Cancellation Policy.

By typing my name below, I acknowledge that signing this form electronically under the Federal (15 U.S.C. §§ 7001) and Colorado (C.R.S. 24-71-101) Electronic signature act is the same as signing the form in writing.




PARTICIPANT AGREEMENT, RELEASE AND ASSUMTION OF RISK

In consideration of Mountain Trip International, LLC, 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 "MTI"), I hereby agree to release, indemnify, and discharge MTI, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

  1. I acknowledge that mountaineering 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.
  2. The risks include, among other things: the hazards of walking on uneven terrain and slips and falls; being struck by rock- fall, 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. Additional dangers may include the hazard of traveling in the third world such as accidents or illness in remote places without access to adequate emergency medical facilities, war, terrorism, political unrest and other forces.

    Furthermore, MTI 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.
  3. 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.
  4. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless MTI 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 MTI's equipment or facilities, including any such claims which allege negligent acts or omissions of MTI.
  5. Should MTI 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.
  6. 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.
  7. In the event that I file a lawsuit against MTI, I agree to do so solely in the state of Colorado, and I further agree that the substantive law of Colorado 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 document shall remain in full force and effect.

By signing this document, 1 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 MTI on the basis of any claim from which I have released them herein.

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

By typing my name below, I acknowledge that signing this form electronically under the Federal (15 U.S.C. §§ 7001) and Colorado (C.R.S. 24-71-101) Electronic signature act is the same as signing the form in writing.




Visitor’s Acknowledgement of Risk (for ALL ALASKA TRIPS)

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

Although MTI 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, MTI has informed me that 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. MTI 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 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. Additional dangers may include the hazard of traveling in the third world such as accidents or illness in remote places without access to adequate emergency medical facilities, war, terrorism, political unrest and other forces.

I am aware that activites with MTI entail 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 MTI 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.

By typing my name below, I acknowledge that signing this form electronically under the Federal (15 U.S.C. §§ 7001) and Colorado (C.R.S. 24-71-101) Electronic signature act is the same as signing the form in writing.




TRAVEL INSURANCE

Travel insurance is available, and may be an option, for all our climbers. Even though most National Parks do not require evacuation insurance, and will generally not charge you for such services, having a Medical/Evacuation policy could help you return home should you require higher level care at the time and might provide you with medical coverage that your personal health care might not provide. Also, as you know, climbing big mountains requires a huge commitment of time, fitness and finances. Protect your investment by insuring your climb with a Cancellation Policy.

Mountain Trip works with Travelex to offer insurance for our US and International climbers. Travelex has a user friendly website where you can work up a quote and evaluate the different policies that Travelex offers; here is a link. Please use Mountain Trip’s location number (#06-0209) when you sign up on-line, or over the phone.

Here are some highlights:

  1. The Adventure Plus Pak upgrade covers mountain climbing. Please remember to select this upgrade during checkout.
  2. Trip cancellation coverage up to 100% of the insured trip cost.
  3. The Travel Select plan provides coverage for $50,000 in emergency medical & dental expenses.
  4. Travelex’s policies provide Primary Medical Coverage no matter when the policy is purchased.
  5. The Travel Select policy is available to non-US residents.
  6. Travelex’s policies only have a 60 day look-back period on any pre-existing medical conditions.
  7. Travelex also does not look at the Pre-existing Medical History of non-traveling family members.
  8. Travelex does not require travelers to insure the full trip cost in order to qualify for coverage on pre-existing medical conditions.
  9. Travelex has been awarded Virtuoso’s Specialty Supplier of the year 6 out of the last 7 years, which is voted on by travel agents across the United States.

Insurance strategies to consider

You can increase the amount of coverage as you go. Therefore, you can choose to purchase only enough coverage to protect your current financial exposure. This means that you might initially only purchase coverage for your deposit and then increase your coverage as you purchase your plane tickets and make your final payment for your climb. You can do this easily online. This will keep the price of your policy down. As you invest more into your trip, you can cover those expenses as they arise.

Trip Application


Submit


Please hit the submit button below to submit your application, or the back button to change your information.

My MountainTrip Checklist

Please check off each task as it gets done.

Trip Application

My MountainTrip Checklist

Personal Information Form Submitted
Medical Information Form Submitted
Trip Information Form Submitted
Waivers printed/read/signed and SENT to MountainTrip via mail or fax or email
Passport or Driver's License photocopied and mailed
Deposit paid
Photo uploaded
Trip Cancellation Insurance (optional) (Highly Recommended)
Flight reservations made
For International Trips-Travel itinerary sent to Mt Trip
Final payment made

Client Application Instructions

Thank you for applying to Mountain Trip to provide guide services on Mount McKinley. In the process of applying for a position on this expedition, you will be signing several documents. These Documents will consist of the following pages.

  1. This cover page
  2. Application (Personal Information)
  3. General Agreement Concerning Services to be Provided and Responsibilities of Team Members
  4. Fee Payment, Refund and Cancellation Policy 2009/10
  5. Medical Information
  6. Visitor’s Acknowledgement of Risks

You must read all of these documents, complete the necessary information needed, and return them to us with a deposit of $1000 to secure a spot on a Denali expedition. Copies of these documents are available on our website. Please feel free to contact us with any questions about the application process. Thanks in advance for all the signatures!

Contact Mountain Trip: PHONE: 866-886-TRIP (8747) inside the US or +1-970-369-1153 | EMAIL: info@mountaintrip.com

FAX: +1-303-496-0998 | P.O. Box 658 | Ophir, CO 81426 | © 2014 Mountain Trip | Site by Dayzign Graphics