Application Form


Now that you’ve completed your waiver, time to fill out this application form.

(If you haven’t filled out a waiver, you need to do that first here: Waiver before completing this form. One per year is plenty, so if you’ve already done one recently don’t sweat it.)

    Full Name (First Last):*

    Your email address:*

    Trip name and date (optional):

    Your birth date yyyy/mm/dd (optional):

    Occupation (optional):

    Street Address:*



    Postal Code:*


    Main Tel #:*

    Alternate Tel # (optional):

    Emergency Name/Contact (optional):

    Food Allergies (optional; note: there may be an additional charge for special diets):

    Allergies/Medical Conditions (optional):

    Insurance (Medical/Travel/Trip Cancellation) Details (optional):

    List your travel details (flight information, timing, etc.) and any transportation requests/requirements (optional):

    Where can we reach you just before your trip (if other than above; optional)?

    Please list your relevant previous mountaineering and/or skiing experience (optional):

    We require deposit, usually 50% unless otherwise indicated, at time of reservation. Please choose your preferred payment option and we will contact you by email or phone for details and further instructions.Credit card WITH trip cancellation insurance, paid in CAD at your card's exchange rate (Recommended; +2% fee)e-Transfer (Canada only, no fee)Credit card WITHOUT trip cancellation insurance, paid in CAD at your card's exchange rate (+3.5% fee)PayPal bank transfer in CAD funds (+4.00% fee)PayPal bank transfer in USD funds at rate posted on our website (+4.00% fee)PayPal P2P bank transfer (no additional fees; PayPal charges you between $0.99 and $2.99)Cash or cheque in CAD (no fee)USD cheque (at rate posted on our website)USD Bank transfer (at rate posted on our website)EUR Bank (SEPA) Transfer (at rate posted on our website)UK GBP Bank (SEPA) Transfer (at rate posted on our website)Third party booking agency (e.g. Explore-Share, 57Hours)

    I'm OK with receiving occasional trip offers and updates by email: YesNo

    Hyland Backcountry Services Booking Conditions and Cancellation Policies Fine Print

    READ CAREFULLY - BOOKING, RESERVATION, DEPOSIT: A deposit of 50% of the total price or private guiding fee is due with your booking unless otherwise indicated. Please provide us with your credit card details, do a bank transfer (account information on demand), send an E-transfer to or mail me a personal cheque payable to Hyland Backcountry Services. Final payments are due 90 days before your trip starts. If you wish to pay in a currency other than what our trips are quoted in, please inquire with us for a quote in your preferred denomination. Euro payments are only accepted by bank transfers in Euro denomination. We also accept bookings from minors; however we do require the signature of BOTH parents or ALL legal guardians on both, reservation form and liability waiver. CONFIRMATION / TRIP INFORMATION: Upon receipt of this registration form we confirm your booking and you agree to pay your deposit within 7 days. Each trip we offer has a detailed trip information page (available on our website) with the trip details, equipment list, proposed itinerary and logistics, etc. Read through this carefully before completing your registration. TRIP (CANCELLATION / MEDICAL / EVACUATION / THEFT) INSURANCE: Once we you complete your registration, we enter into financial obligations on our side and we cannot refund payments or release you from your contractual obligations. Therefore, we highly recommend buying cancellation insurance to cover your losses for the case that you can’t participate or have to interrupt your trip “for any reason”. Also, all participants need to have internationally accepted health insurance for all activities pertaining to the trip, including coverage for emergency rescue and evacuation. If you already have insurance, please make sure that you will be covered for “roped travel” booking a technical trip including “Via Ferrata” trips. We gladly refer you to a travel insurance provider who offers “adventure travel insurance packages” and with whom our clients have had positive claims experiences in the past. Generally, you will receive the best benefits if you buy your insurance within 10 days of our booking confirmation. CANCELLATIONS: If you need to cancel a reservation, please do so in writing (best by e-mail). Please see the trip information package for details on your trip's Cancellation Policy. CANCELLED PROGRAMS: Once we confirm your booking, we guarantee your trip departure. However, we do reserve the right to change guides, particular lodging or the itinerary should unforeseen circumstances (guide sickness, hut or route closing etc.) force us to do so or should the physical condition of the participants (see below), weather or mountain conditions make a continuation as planned too risky. PERSONAL FITNESS and GROUP TRAVEL: Our programs rely heavily on the integrity of each individual to assess his or her skill level and physical condition accurately. It is the responsibility of each participant to be aware of the necessary skill and fitness level for a particular trip. When in doubt, please call and discuss this with us! For the protection of yourself and other group members, we reserve the right to deny participation to any unprepared participant at any time of the trip, in which case we cannot offer a refund! In order to accommodate diverse levels of ability and ambition as well as diverse personalities, the decision making of the guide has to be geared towards safety and finding a consensus within the whole group, which may not please each individual participant at all times.

    Digital Signature

    You cannot proceed without checking "YES". If you do not agree, do not complete this form. Contact me at if you have any questions or concerns.

    Signed (By typing your name you agree that this is a legal document that your are signing digitally in lieu of your handwritten signature):*

    I agree to the terms above; I have read, understood, and signed the waiver; I do not have any outstanding questions about the waiver, and I confirm that all information provided in this registration form is accurate. I understand that by completing this registration form I am committing to registration in this trip and I agree to pay the non-refundable deposit amount as described in the trip's information sheet (50% of the trip fee unless otherwise indicated) within 7 days:* Yes