STEP 4: MEDICAL HISTORY & CLIMBING PROFILE
Please answer each question in earnest using the fields below. You may also send a separate email to firstname.lastname@example.org. Your signature/check mark on this form certifies that your statements are true. Himalaya Alpine reserves the right to refuse service at your expense due to misrepresentation of biographical information. Please note that medical information will be shared with your guides to assist with any health related issues while on your course or expedition. Signing this form indicates you comply and understand the physical requirements for this program.