Trip Application

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Expedition Information

Select your Expedition*

Trip Date – Aconcagua in 12 Days

Trip Date – Aconcagua in 12 Days w/ Oxygen

Trip Date – Aconcagua Ameghino / Polish Glacier

Trip Date – Aconcagua Traditional Route

Trip Date – Bolivian Classic Climbs

Trip Date – Bolivian Technical Climbs

Trip Date – Ojos Del Salado

Trip Date – Tupungato Volcano

Trip Date – Nevado Juncal

Trip Date – Central Andes

Trip Date – Ski Touring in Northern Patagonia

Basic Information

Name*

Email*

Phone

Address

Personal Information

Gender

Age

Height

Weight

Shoe Size

Passport Number

Occupation

Do you have special diet requirements?

Do you have any allergies?

yes

Are you taking medication?

yes

Which Allergies do you have?

please elaborate

Medical History

Outdoor experience

Climbing experience

(Peak, Route, Date) – Please complete this if you are signing up for a mountaineering or skiing expedition. Send a separate email if necessary.

In case of emergency, please contact

Name

Address

Single Supplement

(Aconcagua Only)

Check to select single supplement option

2 nights of single hotel occupancy:
2 nights at the Mendoza Park Hyatt
*Single tent on approach and Deluxe Single Dome with bed at Base Camp! (New!).
($950 added to cost of expedition due with final payment)

NOTE:
*Single tent on approach and base camp only.
Above Base Camp no single tent occupancy for weight and safety reasons on the upper mountain.
(for single supplement option for other expeditions please contact us)

How did you hear about us?*

Terms & Conditions*

AVENTURAS PATAGONICAS POLICY

AVENTURAS PATAGONICAS reserves the right to refuse a person participation on any trip if we find that person to be mentally unprepared for the trip. During the trip the Lead Guide reserves the right to require a person to return to base camp or to abandon the trip, if by their judgment, for any reason, a person is unfit to continue participating in an ongoing activity. If, for any reason, anyone leaves the trip before its completion, for whatever reason, there will be no reimbursement of fees. If the weather, or other factor(s), makes completing our objective impossible, there will be no reimbursement of fees. In the case of the participant’s need for a rescue, or the participant leaves the trip before its completion, for whatever reason, the participant is responsible for any expenses incurred. AVENTURAS PATAGONICAS is not responsible for any expenses incurred if the trip should be delayed due to weather, strikes, theft, acts of nature, civil disturbances, terrorism, acts of war, pandemic, government restrictions or regulations, failure of any form of transportation to arrive or depart as scheduled, or discrepancies over which AVENTURAS PATAGONICAS has no control.

If the participant cancels at any time before the activity, there will be no refund of deposit. The trip fee balance is due in full 90 days before the starting date of the activity. If the participant cancels less than 90 days of the starting date, there will be absolutely no reimbursement of fees. AVENTURAS PATAGONICAS is not responsible for the terms and conditions of any airline tickets. AVENTURAS PATAGONICAS is not responsible for lost, stolen, or damaged baggage or equipment, or any expenses incurred in the event of such loss or damage. If AVENTURAS PATAGONICAS chooses to cancel a trip for reasons other than the above stated, payment will be refunded in full.

I have read, understand, and accept the terms and conditions stated on the AVENTURAS PATAGONICAS POLICY and acknowledge that this agreement shall be effective and binding upon the parties during the entire period of participation in the said activity(s).

ACKNOWLEDGEMENT OF & ASSUMPTION OF RISKS / WAIVER

You are giving up certain rights. PLEASE READ CAREFULLY.

ACKNOWLEDGEMENT OF RISKS. I recognize and acknowledge that there are risks in any activity associated with the outdoors. These risks include dangers not only associated with participation in outdoor activities, but include dangers associated with travel to and from the location of outdoor activities. By signing this Acknowledgement of and Assumption of Risks agreement, I am voluntarily subjecting myself to all dangers, risks and rigors involved or associated with the above trip and I am fully aware there are risks involved with this trip.

RISKS INVOLVED. I fully understand that there are many risks inherent in all outdoor activities, including the above trip, and that these risks can include, but are not limited to, death, injury, or illness as a result of the following: a fall; cold weather injuries which may include hypothermia, frostnip, and/or frostbite; heat related illnesses, which may include heat exhaustion and heat stroke; altitude related illnesses which may include, pulmonary edema, cerebral edema, and/or high altitude mountain sickness; an act of nature which may include lightning, avalanche, mudslide, earthquake, and rockfall; falling into a crevasse, crossing rivers, climbing or downclimbing rock, snow or ice-covered terrain, skiing, being on or near horses or mules; transportation on airplane, boat, bicycle, or vehicle; collisions with vehicles, pedestrians, bicycles, fixed objects, animals, road hazards of all types not necessarily marked; equipment failure, weather problems; epidemics, or other sicknesses; and political or social unrest. I have been informed of some of the possible risks, and their consequences involved in participation on the above trip and acknowledge, and assume responsibility for all risks and their consequences.

GIVING UP LEGAL RIGHTS. By signing this agreement I hereby agree to give up certain legal rights which I may have in the event that I become ill, injured or die as a result of my participation on the above Aventuras Patagonicas trip. I am giving up my legal rights against Aventuras Patagonicas, its owners, guides, assistant guides, and associated agents and contractors or any of their relatives.

AGREEMENT TO WAIVE LEGAL ACTION. I hereby agree that I, my heirs, my personal or legal representatives, or any member of my family, including minors, will not make a claim against, or sue Aventuras Patagonicas, or any of its owners, guides, assistant guides, or associated agents or contractors, or any of their relatives, for death, injury, illness, or expense, occurring during or after the course of my participation on this trip. I hereby release Aventuras Patagonicas, its owners, guides, assistant guides, and any associated agents or contractors from and against any and all legal liability arising out of or connected in any way with my participation on this Aventuras Patagonicas trip. All terms of this agreement shall be binding upon me, my relatives, heirs, and my personal or legal representatives.

CONSENT TO LEADERSHIP. I further agree that Aventuras Patagonicas shall have complete discretion to decide when, where, how, to what extent, and under what circumstances my rescue should be required.

CONSENT TO MEDICAL TREATMENT. Provided I am incapacitated or rendered incompetent due to illness or injury, and I am unable to make my own decisions, I consent to any emergency medical treatment or hospital care that may arise from participating in activities with Aventuras Patagonicas.

RESPONSIBILITY FOR EXPENSES. I accept full responsibility for any, and all expenses incurred, as a result of my injury, illness, or death, including all medical services and rescue costs, as well as my costs if I leave the trip for non-medical reasons.

AGREEMENT TO INFORM. I have informed Aventuras Patagonicas of any preexisting medical conditions, and any, and all medications I will be taking on the trip.

I certify and state that I am fully capable, physically and mentally, to participate on this Aventuras Patagonicas trip, and that I have been made aware and have had an opportunity to make myself aware of, the dangers, risks, and consequences involved in this trip, some of which are listed in this Acknowledgement of and Assumption of Risks agreement. I have carefully read this agreement and fully understand its contents and terms. I understand that this agreement shall be binding upon me, my relatives, heirs, and representatives,. I understand that this agreement shall be effective and binding during the entire period of participation on my Aventuras Patagonicas trip including, but not limited to, travel to and from my place of residence.

I have read and accept the expedition terms & conditions