BC Reservation Form/English

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■ Tour

Date

Duration
---1 Day2 Days3 Days4 Days5 Days6 Days7 DaysMore

Area
---Best in central HokkaidoMt. AsahidakeLocal Mts in AsahikawaMt. Tokachidake AreaNiseko AreaSapporo AreaOthers

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■ Guest's Information

Number of People
---12345more

Name

Age

Country

Address

ZIP

e-mail

phone number

emergency contact number

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■ Gear Information

Riding Gear
---Ski with SkinTeli with SkinSnowbord with SnowshoeSplitbord with Skin

Avalanche Gear
---All of 31. Avalanche Transceiver2. Probe3. ShovelAir Bag

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■ Your Experience/Skill

Riding Level
---Beginner in powderIntermediate in powderAdvanced in powder

Hiking Speed
---SlowModerateFast

Years of BC Experience
---0~1 season2~3 seasons4~5 seasons6~8 seasons10 seasons ~

"Have you taken Any Avalanche Corses before?"
---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?"
---YESNO

Do you agree with our Tour Regulation?

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Note

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