Form
Please fill in the below details to submit an incident, hazard or event that happened at Coronet Peak, The Remarkables or Mt Hutt and one of our team will endeavour to get in touch with you.
Guest Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MyPass Number (as on back of pass)
Incident Details
Date of event
*
-
Month
-
Day
Year
Date
Time of event
*
Hour Minutes
AM
PM
AM/PM Option
Ski Field
*
Location on Ski Field
*
Brief Description of Incident/Event/Hazard
*
Signature
Please verify that you are human
*
Submit
Should be Empty: