IMA Participant Info Form

First Name * Last Name * Address 1 * Address 2 City * State * Postal Code * Country * Phone * E-mail Address: * Emergency Contact Name * Emergency Contact Phone * Emergency Contact Relationship * Emergency Contact State / Country * Age * Under 20 (please specify age) 20 - 29 30 - 39 40 - 49 49- 59 Over 60 (please specify age) Height * feet inches Weight * lbs Please give a brief outline of your skiing or experience: * Please briefly describe your fitness level: * What trails, terrain and snow conditions do you ski competently? * Steep Narrow Ice Crud Powder Gromed Off-piste With Cliffs Black Diamond Double Black Diamond Bumps What level skier are you? * Level 6: Ski groomed blue and some black trails, usually with parallel turns Level 7: Ski groomed blue and most black trails with confidence, but steep terrain or bumps are a challenge Level 8: Ski black diamond terrain and can handle most steeps and bumps Level 9: An expert skier, can ski most anything, but would like to polish it up Level 10: Certified instructor level Backcountry Safety Equipment (beacon, shovel, probe) * Don't own, will need to rent or purchase Have my own Do you have any special medical needs, dietary requirements or allergies that International Mountain Adventures should be aware of? * Please list any medications that you take regularly and will have with you on the trip. * * Required Easy Online Form Builder