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 Avalanche Rescue CoursesPlease ChooseAvy Rescue: January 6, 2018Level 1 CoursesPlease ChooseLevel 1: Hut Based December 16-18, 2017 FULLLevel 1: (Private Charlton) Hut Based December 29-31, 2017Level 1: Hut Based January 15-17, 2018 FULLLevel 1: Hut Based February 14-16, 2018 FULLLevel 1: Hut Based March 28-30, 2017Level 1: Hut Based April 13-15, 2018Level 2 CoursesPlease ChooseLevel 2: Hut Based January 28 - 31, 2018Where 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.