Clone of Highland Climbing Company- Booking Form

Trekking Lenana 4985m or Climbing Batian 5200m
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Trek - Standard Trip to Pt LananaNon Kenyan Resident Rate
£2.925,00 Cost of trip / Guide to Client ratio
Item subtotal:£0.00



Trek - Luxury Trip to Pt Lanana Non Kenyan Resident Rate
£4.031,00 Cost of trip / Guide to Client ratio
Item subtotal:£0.00



Trek - VIP Trip to Pt Lanana Non Kenyan Resident Rate
£4.495,00 Cost of trip / Guide to Client ratio
Item subtotal:£0.00



Climb - Standard trip to Batian
£5.088,00



Climb - Luxury trip to Batian
£6.147,00



Climb - VIP trip to Batian
£7.104,00



Total

£0,00
Number of Guests*
Start Date*

DayMonthYear

Client Details
Guest 1*

PrefixFirst NameLast Name
Email Address*
example@example.com
Phone Number *
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Please indicate any relevant medical conditions, allergies, or injuries below. 1) Medical Allergies 2) Current or Previous Injuries 3) Medications Currently Being Taken 4) Other Medical Conditions or Concerns:*
Passport number*
Any Dietaries?*
Medical Insurance Policy Number - must be completed prior to the trip
Helicopter Rescue Coverage:High-altitude helicopter rescue services are coordinated and supported by our local ground support team. Insurance Requirements: Participants are required to hold valid medical insurance. Note: Specialized mountain or expedition-specific insurance is not mandatory, though participants may choose to add it for additional coverage. Recommendation: We advise all participants to discuss their coverage options with Jack and Ella to fully understand the available support and insurance inclusions. After this discussion, please make an informed personal decision regarding your insurance plan.
Emergency Contact Information*

PrefixFirst NameLast Name
Relationship to Participant*
Phone Number *
Please enter a valid phone number.
Guest 2

PrefixFirst NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityCounty

Post Code
Please indicate any relevant medical conditions, allergies, or injuries below. 1) Medical Allergies 2) Current or Previous Injuries 3) Medications Currently Being Taken 4) Other Medical Conditions or Concerns:
Passport number
Any Dietaries?
Medical Insurance Policy Number - must be completed prior to the trip
Helicopter Rescue Coverage:High-altitude helicopter rescue services are coordinated and supported by our local ground support team. Insurance Requirements: Participants are required to hold valid medical insurance. Note: Specialized mountain or expedition-specific insurance is not mandatory, though participants may choose to add it for additional coverage. Recommendation: We advise all participants to discuss their coverage options with Jack and Ella to fully understand the available support and insurance inclusions. After this discussion, please make an informed personal decision regarding your insurance plan.
Emergency Contact Information

PrefixFirst NameLast Name
Relationship to Participant
Phone Number
Please enter a valid phone number.

Client Details
Guest 3

PrefixFirst NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityCounty

Post Code
Please indicate any relevant medical conditions, allergies, or injuries below. 1) Medical Allergies 2) Current or Previous Injuries 3) Medications Currently Being Taken 4) Other Medical Conditions or Concerns:
Passport number
Any Dietaries?
Medical Insurance Policy Number - must be completed prior to the trip
Helicopter Rescue Coverage:High-altitude helicopter rescue services are coordinated and supported by our local ground support team. Insurance Requirements: Participants are required to hold valid medical insurance. Note: Specialized mountain or expedition-specific insurance is not mandatory, though participants may choose to add it for additional coverage. Recommendation: We advise all participants to discuss their coverage options with Jack and Ella to fully understand the available support and insurance inclusions. After this discussion, please make an informed personal decision regarding your insurance plan.
Emergency Contact Information

PrefixFirst NameLast Name
Relationship to Participant
Phone Number
Please enter a valid phone number.
Guest 4

PrefixFirst NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityCounty

Post Code
Please indicate any relevant medical conditions, allergies, or injuries below. 1) Medical Allergies 2) Current or Previous Injuries 3) Medications Currently Being Taken 4) Other Medical Conditions or Concerns:
Passport number
Any Dietaries?
Medical Insurance Policy Number - must be completed prior to the trip
Helicopter Rescue Coverage:High-altitude helicopter rescue services are coordinated and supported by our local ground support team. Insurance Requirements: Participants are required to hold valid medical insurance. Note: Specialized mountain or expedition-specific insurance is not mandatory, though participants may choose to add it for additional coverage. Recommendation: We advise all participants to discuss their coverage options with Jack and Ella to fully understand the available support and insurance inclusions. After this discussion, please make an informed personal decision regarding your insurance plan.
Emergency Contact Information

PrefixFirst NameLast Name
Relationship to Participant
Phone Number
Please enter a valid phone number.

Client Details
Guest 5

PrefixFirst NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityCounty

Post Code
Please indicate any relevant medical conditions, allergies, or injuries below. 1) Medical Allergies 2) Current or Previous Injuries 3) Medications Currently Being Taken 4) Other Medical Conditions or Concerns:
Passport number
Any Dietaries?
Medical Insurance Policy Number - must be completed prior to the trip
Helicopter Rescue Coverage:High-altitude helicopter rescue services are coordinated and supported by our local ground support team. Insurance Requirements: Participants are required to hold valid medical insurance. Note: Specialized mountain or expedition-specific insurance is not mandatory, though participants may choose to add it for additional coverage. Recommendation: We advise all participants to discuss their coverage options with Jack and Ella to fully understand the available support and insurance inclusions. After this discussion, please make an informed personal decision regarding your insurance plan.
Emergency Contact Information

PrefixFirst NameLast Name
Relationship to Participant
Phone Number
Please enter a valid phone number.
Guest 6

PrefixFirst NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Home Address

Street Address

Street Address Line 2

CityCounty

Post Code
Please indicate any relevant medical conditions, allergies, or injuries below. 1) Medical Allergies 2) Current or Previous Injuries 3) Medications Currently Being Taken 4) Other Medical Conditions or Concerns:
Passport number
Any Dietaries?
Medical Insurance Policy Number - must be completed prior to the trip
Helicopter Rescue Coverage:High-altitude helicopter rescue services are coordinated and supported by our local ground support team. Insurance Requirements: Participants are required to hold valid medical insurance. Note: Specialized mountain or expedition-specific insurance is not mandatory, though participants may choose to add it for additional coverage. Recommendation: We advise all participants to discuss their coverage options with Jack and Ella to fully understand the available support and insurance inclusions. After this discussion, please make an informed personal decision regarding your insurance plan.
Emergency Contact Information

PrefixFirst NameLast Name
Relationship to Participant
Phone Number
Please enter a valid phone number.

Terms and Conditions
HCC hold civil liability insurance, all of our associate members whether that be of our core team or any associate members that may work for us will have their own insurance to cover any work*
Evacuation by Foot There are additional costs involved in this type of evacuation due to the manpower required to get a person off the mountain. Evacuation on a Stretcher- due to the distance involved, requires a substantial amount of manpower to get the person down and could take up to 12 people, and would cost 500USD or 50,000KES. Assisted Descent- In this circumstance the person would be in a good enough state to walk slowly and would have porters at hand to help in the event that their condition would deteriorate. This would involve 4 porters and would cost 150USD of 15,000kes. Please be aware that by choosing to climb with us you would be expected to pay this additional fee in the un-likely event that you would need to be evacuated by foot. Please tick "Yes" or "No' if you accept:*
Medical Disclosure: To the best of my knowledge, the medical information I have provided is a complete and accurate representation of my current and relevant medical history. I hereby declare that I am in good physical health and believe I am able—without reservation or limiting conditions—to withstand and cope with the physical rigors associated with this program. In the event of a medical emergency, I grant permission for any necessary evacuation, medical intervention, or treatment to be carried out in the interest of my immediate health and safety.*
I, THE ABOVE NAMED PERSON, PARTICIPATING IN THE SAID ADVENTURE PROGRAMME, REALISE THAT THE ACTIVITIES OFFERED, INCLUDING MOUNTAINEERING, ROCK CLIMBING AND TREKKING AS WELL AS THE TRAVEL (BOTH AIR AND GROUND) TO AND FROM AND WITHIN THE ACTIVITY LOCATIONS PROVIDED BY HIGHLAND CLIMBING COMPANY LTD (HEREINAFTER KNOWN AS HCC) INHERENTLY INVOLVE RISKS WHICH MAY RESULT IN PROPERTY DAMAGE OR LOSS, SERIOUS OR FATAL INJURY. I ACKNOWLEDGE THAT ROCKS, CLIFFS, CORNICES, AVALANCHES, CREVASSES, FALLING OR EQUIPMENT FAILURE ARE AN EVER PRESENT HAZARD WHEN MOUNTAINEERING,TREKKING AND TRAVELLING TO AND FROM AND WITHIN THE ACTIVITY LOCATIONS. I HEREBY ASSUME ALL RISKS AND RELEASE ALL PERSONS, ENTITIES OR CONTRACTORS CONNECTED WITH HCC FROM ALL LIABILITY FOR ANY INJURIES OR DAMAGES AND FROM ANY CLAIM BY ME, MY FAMILY, ESTATE, AGENTS, HEIRS OR ASSIGNS ARISING IN ANY WAY FROM MY PARTICIPATION IN ALL, AND ANY ACTIVITIES CONNECTED WITH HCC. HCC ACCEPTS NO RESPONSIBILITY FOR THE ACTIONS OF PERSONS AND/OR COMPANIES SUPPLYING GOODS AND/OR SERVICES AS PART OF THEIR GUIDING. PLEASE TICK YES IF YOU ACCEPT AND NO IF YOU DON'T ACCEPT. *
I consent to Highland Climbing Company collecting and storing my personal data for course administration, safety, and communication purposes, in line with current data protection laws (GDPR). I consent to photographs or video footage of me being taken during the course and used for promotional purposes (website, social media, brochures, etc.). I understand I can withdraw this consent at any time.*

PAYMENT
Deposit and Confirmation: A 30% deposit is required to confirm your booking with Highland Climbing Company. This deposit becomes non-refundable within 90 days of your scheduled trip start date. Final Payment: The remaining balance (70%) is due no later than 90 days before the trip. Once the full payment has been made, it becomes non-refundable within this 90-day period. Cancellations by Participant: If you are unable to attend, Highland Climbing Company will make every reasonable effort to rearrange your trip for a future date. Please note that rebooking options are subject to availability and operational constraints. Cancellations by Highland Climbing Company: In the unlikely event that Highland Climbing Company must cancel a trip, a suitable alternative program or date will be arranged. Participants will be notified as early as possible, and every effort will be made to ensure an equivalent or improved experience.*

I Agree
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Bank TransfersCard Payment
Account Holder's Name: THE HIGHLAND CLIMBING COMPANY LTD
Bank Name: Monzo
Account Number: 72143388
Sort Code: 04-00-05
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Trekking Lenana 4985m or Climbing Batian 5200m

Client Details

Client Details

Client Details

Terms and Conditions

PAYMENT