Campbell Icefields Chalet Trip 2025 Application

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Email *

Name *

Phone
*

Emergency Contact (Name and Phone)
*

City/Town
*

Any medical conditions/issues/medications the camp manager should be aware of (will be kept confidential)?
*

Any food allergies/sensitivities/restrictions/preferences?
*

How many years have you been backcountry skiing?
*

Provide an example of the three most challenging trips you have been on in the last two winters
*

How many years have you been actively leading ski trips for ACC Rocky Mtn Section?
*

How many years have you been actively helping with the BITS program for ACC Rocky Mtn?
*

What courses have you taken?
*

AST 1

AST 2

Other/more advanced avalanche course

Crevasse Rescue

Backcountry Skiing

First Aid or Wilderness First Aid

Ski Mountaineering

Other:

Required

Would you be interested in carpooling?
*

Yes

Do you have any of the following group gear?

inReach/SPOT

VHF Radio

FRS Radio

First Aid Kit

Emergency Shelter/Tarp

Snow Saw

Snow Kit

Send me a copy of my responses.

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