Christmas and New Year in Antarctica 2022 / 2023 21st December 2023 – 3rd January 2023 Thank you for completing the trip booking form below. Your details remain private and are required solely for the trip you have signed up for.For more details, please read the privacy policy. First Name Last Name Telephone No. Mobile Postal Address Email Nationality Date of Birth Passport No. Expiry Date Date Issued Place Issued Fleece Size Small (UK size 10) Medium (UK size 12) Large (UK size 14) Extra Large (UK size 16) Twin share with Contact Person Telephone Relationship to you Dietry restrictions Health and fitness How do you score your fitness level 1. Unfit - need help with training 2. Good Overall fitness 3. Excellent fitness all participants must be protected by their own insurance that covers accidents, illness, emergency evacuation and loss or damage to personal effects. If you do not have the necessary insurance by signing the liability waiver and agreeing to participate you accept responsibility to cover all medical expenses incurred and costs involved in getting you to a medical facility. Name of Insurer Policy No. Company Telephone Should a cancellation arise the following scale of charges will apply: - 1. No refund or compensation will be awarded for any unused services booked for the trip, e.g. flights, hotels, accommodation. 2. Cancellation by Mountain High or Oceanwide Expeditions will entitle you to a full refund of all sums paid unless cancellation is due to circumstances beyond the control of the Company and if such cancellation is covered under travel insurance. 3. Cancellation 90 – 0 days prior to trip departure will result in you being liable for 100 % of the total trip cost. 4. If you are forced to cancel your trip written notification must be sent to Mountain High and the date of cancellation will be deemed to be the day the Company received written confirmation of such cancellation. * Cancellation policy subject to change to fall in line with any changes to policy by our Ground Handlers. I have read and agree to the Booking conditions as listed above. I can confirm that I am in good physical and mental health and have no known reason to cancel the trip and am not travelling against the advice of medical professional persons. DISCLAIMER I confirm and undertake that I shall be solely responsible for any personal injury/ and or damage to property I cause to myself and/ or third parties during the whole time of the above mentioned program. I release Mountain High or Oceanwide Expeditions of any liabilities, claims or suits related to my personal injury or damage to property caused by myself and or third parties during the tour. I have read and fully understood the information in the trip itinerary and have applied to join on the basis that I am competent and willing to cope with the situations, circumstances and conditions made clear in the printed material. I recognise that this is an adventure holiday and as such contains a greater potential risk compared to my usual daily life or conventional holiday travel. Not only do I accept these realities I have chosen to seek them out and recognise that not all situations, circumstances and conditions subsequently encountered are identical to those pre-existing and prevailing at the time of booking. I recognise the responsibility of Mountain High & Oceanwide Expeditions to me and accept the authority and decisions of both operators in respect of the trip I have applied to join. Send Payment details You will receive the bank details via email $ 12,500 Dhs 20,935 Investment