Release Of Liability / Assumption Of Risk Form (Page 7 of 7) in pdf

Release Of Liability / Assumption Of Risk Form Page 7

Gear Rental Form

Please return with health form & waivers!

All gear for private and open-enrollment programs is included with the program price, with the

exception of Black Diamond Demo skis ($40 rental/day). Please fill out the form below for any gear

you will need during your program. If you have your own gear, please make a note of that.

If you are unsure about what gear is appropriate for your program, please contact Petra Cliffs

Climbing Center or your guide.

Rock & Ice Climbing, Mountaineering

Harness: Size (XS - M, M - XL): _________________________

Helmet (one size): Total number of helmets: ________

Rock Climbing Shoes: size: _________

Ice axes: ________

Mountain Boots: size: ________

Crampons: Total number: ________

Please list any gear that you own: _____________________________________________________

Any other gear requests? ____________________________________________________________

Backcountry Skiing/Ski Mountaineering

Alpine Trekker Binding Inserts(optional): Total pairs: ________

Black Diamond Demo skis: Total pairs: ________, requested ski length___________

Skins: Total pairs: ________ Ski width: ___________________ Ski Length: ___________________

Beacon: Total number: ________ Shovel: Total number: _______ Probe: Total number: ________

Mammut Snowdirft Ski Pack: Total number: ________

Please list any gear that you own: _____________________________________________________

Any other gear requests? ____________________________________________________________

Petra Cliffs Mountaineering School

105 Briggs Street

Burlington, VT 05401

(802) 657-3872 Toll-free: (866) 657-3872

Fax: (802) 657-3877

Release Of Liability / Assumption Of Risk Form Page 7