Avalanche Course Reservation Form Avalanche Course Reservations Please submit one form per person. Student Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Enter Email Confirm Email Level 1 CoursesPlease ChooseLevel 1: Hut Based December 16-18, 2016Level 1: Hut Based December 28-30, 2016Level 1: Hut Based January 16-18, 2017Level 1: Hut Based February 12-14, 2017Level 1: Hut Based March 21-23, 2017Level 1: Hut Based April 7-9, 2017Level 2 CoursesPlease ChooseLevel 2: Hut Based January 29 - February 1, 2017Where and when did you take your Level 1 Course?*Do you need to rent a Beacon, Probe or Shovel?*YesNoAvalanche Course Beacon Rental Price: $30.00 Quantity: To use during the entire length of your course.Avalanche Course Probe Rental Price: $15.00 Quantity: To use during the entire length of your course.Avalanche Course Shovel Rental Price: $15.00 Quantity: To use during the entire length of your course.Method of TravelAlpine Touring SkisTelemark SkisSplitboardNote: Our courses are touring based and we travel in skin tracks and descend ski runs throughout the course. Snowshoeing becomes difficult and is discouraged. Total $0.00 Medical Conditions and AllergiesRefund Policy A 50% deposit is due for all trips upon confirmation of your reservation. The full balance is due on the first date of your reservation. There are no refunds for any reason, including injury or poor weather. The full balance is due regardless if you cancel or not. Please consider purchasing third-party travel insurance.I agree to the Refund Policy* Yes Cardholder Name First Last Card NumberExp. Date: MMYYAdditional Notes: This iframe contains the logic required to handle AJAX powered Gravity Forms.