"" Adventure Seekers Rock Climbing School in Tokyo JAPAN







































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First Name
Last Name
Mail Address
Re-enter your Mail Address
Gender M F
Nationality
Address in Japan (Name of Hotel)
Telephone (Hotel)
For Climbing Classes
Date to climb ex) Jan 18, 2008
Date to climb (2nd choice)
What level are you?
Do your friends join you? Please type your friends name.
For Event/climbing tour in Japan
Tour # See list
For Guided Climbs
When Would you like to climg? ex) Jan 18, 2008
For Guided Climbs, what level are you?
For Guided Climbs, your expereence is Sports Tred Multi-pitch
Rental Gear Information
Shoe size
Hight cm or Feet
Waist Size (For Harness) cm or inch
No I have them all! (Herness, Shoes, Chalk Bag)
Medical Information
Date of Birth
Are you currently under a doctor's care?



Are you taking any medication?



Are you allergic to insect bites? Yes
Are there any limitations to your activities? Yes
If yes to any of thoes, please describe. Allergies Frostbite
Cerebral or Pulmonary Edema
Diabetes Asthma Heart Problems
Hight Blood Pressure Dislocations


 
Payment Bank Transffer Pay to guide
Other Questions?
I have carefully read, clearly understood, and accepted the terms and condition. Click
【Cancellation Fee】
※21days or more prior to class scheduled 0% of the total amount payable penalty.
※21days-8days prior to class scheduled 20% of the total amount payable penalty.
※7days-1day prior to class scheduled 30 % of total amount payable penalty.
※A day of class 100% of the total amount payable penalty.