Registration and Risk Acceptance Form for the Activity

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Activity Data

Activity to be carried out

If your option was “Private Expedition” indicate the name of the activity and date of completion:

Personal Information

Full Name

Run, DNI or Passport

Date of Birth (DD/MM/YYYY)

Place of Residence (Street, Number, Commune, Region, Country)

Nationality

Phone Number

Contact in case of emergency

Full Name

Phone Number

Medical history

Please provide us with any relevant information we should know about your health, such as: allergies, asthma, epilepsy, blood pressure problems, heart problems, diabetes, anemia, phobias, vertigo, pregnancy, recent surgeries, contraindicated medications, dietary restrictions, etc.

DECLARATION [By submitting this form I declare]:

1. That all the information provided is reliable and I have not omitted anything relevant regarding my state of health.
2. To know and understand the risks involved in participating in this type of activity, which cannot be completely eliminated, even when there is compliance with safety standards accredited by the provider, which are intended to reduce the risks involved in carrying out this activity. 3. To know and understand the minimum requirements and mandatory equipment that the participant must possess for the particular activity to be carried out. 4. That I have read and agree with the «TERMS AND CONDITIONS» that Kallfu Tourism and Mountain has for all your activities.

Kallfu High Mountain