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: Dec 21, 2019Level 1 CoursesPlease ChooseLevel 1: Hut Based December 20-22, 2019 FULLLevel 1: Hut Based December 27-29, 2019 FULLLevel 1: Hut Based January 5-7, 2020 FULLLevel 1: Hut Based January 8-10, 2020 FULLLevel 1: Hut Based February 2-4, 2020 . FULLLevel 1: Hut Based March 23-25, 2020 FULLLevel 1: Hut Based April 5-7, 2020Level 2 CoursesPlease ChooseLevel 2: Hut Based January 20-23, 2020Where and when did you take your Level 1 Course?*Do you need to rent a Beacon, Probe or Shovel?*YesNoNote: If you reserve rental equipment, but then get your own equipment prior to the course, that is great and we will not charge you for the rental. Avalanche 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. Please make sure that you are comfortable descending ski slopes in variable terrain and variable snow conditions. Snowshoeing is not compatible. 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: MMYY3 DIG CODE*Additional Notes: This iframe contains the logic required to handle Ajax powered Gravity Forms.