Highline Course Registration

First Name

Name

Date of Birth (dd/mm/yyyy)

Country

E-mail

Phone number (+landcode)

Course Selection

Arrival Time

Arriving by

I sleep in

Food Preferences

Food Allergies

How did you get to know about this course?

Are you a member of a UIAA affiliated association (find a list here) a list ? Are you a member of a UIAA affiliated association (find a list here) a list ? Yes (state membership number in next question) No (= + €20 to cover access to the rocks and insurance)

Membership Number

I declare to be in a healthy mental and physical condition I declare to be in a healthy mental and physical condition YES NO

I agree with the terms & conditions (click here to read) I agree with the terms & conditions (click here to read) YES NO

Message to the organizers

6 + 3 =