BC Reservation Form/English

______________________________________________________________________________

■ Tour

Date

Duration
—以下から選択してください—1 Day2 Days3 Days4 Days5 Days6 Days7 DaysMore

Area
—以下から選択してください—Best in central Hokkaido(Douhoku)Mt. AsahidakeLocal Mts in AsahikawaMt. Tokachidake Area

______________________________________________________________________________

■ Guest's Information

Number of People
—以下から選択してください—12345more

Name

Age

Country

Address

ZIP

e-mail

phone number

emergency contact number

______________________________________________________________________________

■ Gear Information

Riding Gear
—以下から選択してください—Ski with SkinTeli with SkinSnowbord with SnowshoeSplitbord with Skin

Avalanche Gear you have
—以下から選択してください—All of 31. Avalanche Transceiver2. Probe3. ShovelAir Bag

______________________________________________________________________________

■ Your Experience/Skill

Riding Level
—以下から選択してください—Beginner in powderIntermediate in powderAdvanced in powder

Hiking Speed
—以下から選択してください—SlowModerateFast

Years of BC Experience
—以下から選択してください—0~1 season2~3 seasons4~5 seasons6~8 seasons10 seasons ~

"Have you taken Any Avalanche Corses before?"
—以下から選択してください—YESNO

______________________________________________________________________________

■ Health Issues

Blood Type
ABOABA-B-O-AB-

"Do you have Allergies?"
If "YES", Please write the kinds of allergies.

Health Issues & Medications to be known by Guide

______________________________________________________________________________

■ Rentals
NoneAvalanche TransceiverProbeShovelBack-Pack

■ Insurance
"Do you have an insurance which covers Back Country activities?"
—以下から選択してください—YESNO

Do you agree with our Tour Regulation?

______________________________________________________________________________

Note

______________________________________________________________________________

Δ