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.
Please describe your physical conditioning program and your general fitness level.
Please elaborate on any 'Yes' responses from above or enter n/a
Do you have any foods that you are allergic to or prefer not to eat? Please explain with details.
Are you currently taking any prescription medications? If Yes, please list medications and dosage, which is kept confidential.
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.
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"