CLIENT INFO FORM

Personal Information

First Name:

Last Name:

Age

Gender

Address

City

State

Zip

Email

Occupation

How did you hear about Beartooth Powder Guides?

Planned Activity

Activity:

Date of activity:

Group Name: (First and last name of group leader or main organizer who has been in contact with BPG)

Experience with this type of activity:

Equipment needed:

Health

Physical condition

What is your normal exercise schedule per week? What activities, how often, duration etc:

Weight:

Height:

Allergies:

Medications (type and reason):

Relavent medical history (recent surgery, prior injuries etc):

Dietary restrictions:

Emergency Contact

Name:

Relationship:

Phone number:

Email:

Address (street, city, state):

I agree that all the information above is correct

Required: Initial here


*Price doesn’t include guide gratuities. We are often asked about gratuities for guides. Traditionally, skiers who enjoyed their experience and appreciated his or her work have found it appropriate to tip.