Register

Please complete this form to register for a climb.

Registration

Step 1 of 3

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Name*
First Last
Phone*
Email*
Enter Email Confirm Email
NOTE: We have been experiencing issues with messages from @yahoo.com email addresses being marked as spam on our server. If you have an @yahoo.com email, please consider using another for this form.
Trip Information
Trip*
Please enter which trip you are interested in joining us for. (ie Mt Hood Summit Program, Alpine Rock Program, etc.)
Preferred Trip Start Date*
Enter your ideal dates. We will confirm availability over the phone.
MM slash DD slash YYYY
Previous Experience*
Please list your climbing/skiing experience as well as any related activities.
Hidden
Rental Gear
Please check which gear you will need to rent from us. Click on a link above to view a photo of the item.
- Ice Axe
- Crampons
- Day Pack
- Mountaineering Boots
- Trekking Poles
- Insulated Jacket - "Puffy"
- None
Hidden
Shoe Size
Enter size or n/a
Hidden
Shoe Type
- Mens
- Womens
- N/a

Emergency Contact Information
Someone who will NOT be on the trip with you.
Emergency Contact Name*
First Last
Emergency Contact Phone*
Emergency Contact Relationship*
Medical History
Mountaineering, Rock Climbing and Ski Mountaineering are dangerous, demanding activities and are very serious undertakings. Many of our programs take place in remote settings where rescue is difficult and definitive care is far away. Additionally, most of our programs require a relatively high level of physical activity for a considerable length of time. Being physically fit is very important, and can make dealing with hazards less dangerous. Thank you for taking the time to accurately answer all of the questions on this form.
Current Condition*
Please describe your physical conditioning program and your general fitness level.
Medical Conditions*
Do you now have, or have you ever had any of the following conditions? If you answer 'Yes' to any of the following conditions, please explain in the space provided.
- Epilepsy
- Asthma
- Diabetes
- Heart Disease
- Seizures
- Altitude Sickness
- Vision or Hearing Impairment
- Chronic Headaches
- Shortness of Breath
- Chest Pain
- Back Problems
- Broken Bones
- Severe Sprains
- Hospitalization in the Past Year
- None
Condition Details*
Please elaborate on any 'Yes' responses from above or enter n/a
Dietary Restrictions*
Do you have any foods that you are allergic to or prefer not to eat? Please explain with details.
Prescriptions*
Are you currently taking any prescription medications? If Yes, please list medications and dosage, which is kept confidential.
Allergies*
Are you allergic to any foods, medications, or insect bites/stings? If yes, please explain what you are allergic to, the reaction, and treatment required.
Other Conditions*
Do you have any other condition that could affect your performance during physical activity, including your ability to run, lift, climb, or ski? If yes, please describe. If no, enter "n/a"

Trip Prepartion & Climber Requirements
Before submitting your registration form, please take a moment to read our trip preparation and requirements.
Requirements*
- I Agree
I have read the Trip Preparation and Climber Requirements, understand it, and agree to its terms.
Initials*
Enter your initials as a signature.
Cancellation/Refund Policy
Before submitting your registration form, please take a moment to read our cancellation and refund policies listed on our Policies page.
Cancellation/Refund Policy*
- I Agree
I have read the Cancellation/Refund Policy, understand it, and agree to its terms.
Initials*
Enter your initials as a signature.
Complete Your Registration
You're almost done... just confirm your information and click the Register button below.
Newsletter?
- Yes, sign me up!
Would you like to sign up to receive updates and newsletters from Timberline?
How did you hear about Timberline?
Which website?
Other?
Tell us more...
Registration Completion*
- I Agree
All of the information I have provided on this form is complete and accurate to the best of my knowledge.
Initials*
Enter your initials as a signature.
Privacy*
- I consent to my submitted data being collected and stored according to TMG's privacy policy.
Name
This field is for validation purposes and should be left unchanged.

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Privacy*
- I consent to my submitted data being collected and stored according to TMG's privacy policy.
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Talk with a Guide

Contact Us

Contact Us

(541) 312-9242

PO Box 1167
Bend, OR 97709

info@timberlinemtguides.com

Timberline Mountain Guides

We believe that climbing and skiing in the mountains inspires us, exposes us to beautiful natural wonders, and creates bonds between people that transcend daily life. In short, it makes us feel more alive.

This institution is an equal opportunity service provider and employer, which operates under a special use permit issued by the Mt. Hood, Deschutes, Willamette and Mt Baker National Forests, USDA Forest Service.

Please complete this form to register for a climb.

Registration

Step 1 of 3

Trip Information

Emergency Contact Information

Medical History

Trip Prepartion & Climber Requirements

Cancellation/Refund Policy

Complete Your Registration

Talk with a Guide

Contact Us

Timberline Mountain Guides

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