BC Reservation Form/English

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■ 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 HokkaidoMt. AsahidakeLocal Mts in AsahikawaMt. Tokachidake AreaNiseko AreaSapporo AreaOthers
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■ 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

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

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■ 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?
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Note

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