Climber/Caver Information Form Course* Select... Climb Crazy Horse Adventure Cave Crazy Horse Adventure Crazy Horse Odyssey Intro to Rock Climbing Rock Climbing Essentials Private Guiding (Inc. Advanced Courses/Classic Routes) Introduction to Caving Karst Exploration Rock the Gibbon Underground Gibbon Rock and Raft Rock and Roll Rock and River Date of Course* Full Name* Email * Phone Do you require pick-up/drop-off service? (500 THB extra within 5 km of Chiang Mai Old City. Free for Karst Exploration, Rock the Gibbon, Underground Gibbon, Rock and Roll, Rock and Raft, Rock and River)* Select... Yes No Contact Number and Accommodation Gender* Select... Male Female Date of Birth* Weight (kg) / Height (cm)* Climbing Shoe Size (US/UK/Euro) Select... 2.0 / 1.0 / 33.0 3.0 / 2.0 / 34.0 4.0 / 3.0 / 35.5 4.5 / 3.5 / 36.0 5.0 / 4.0 / 37.0 5.5 / 4.5 / 37.5 6.0 / 5.0 / 38.0 6.5 / 5.5 / 39.0 7.0 / 6.0 / 39.5 7.5 / 6.5 / 40.0 8.0 / 7.0 / 40.5 8.5 / 7.5 / 41.5 9.0 / 8.0 / 42.0 9.5 / 8.5 / 42.5 10.0 / 9.0 / 43.0 10.5 / 9.5 / 44.0 11.0 / 10.0 / 44.5 11.5 / 10.5 / 45.0 12.0 / 11.0 / 46.0 13.0 / 12.0 / 47.0 14.0 / 13.0 / 48.0 Describe Climbing/Caving Experience and Expectations for Course* Lunch Choice* Select... Chicken Pork Vegetarian Chicken (Not Spicy) Pork (Not Spicy) Vegitarian (Not Spicy) Vegan/Halal I Don't Want Lunch Emergency Contact Information (Name, Relationship, Phone, Email)* Dietary Concerns (write N/A if this does not apply)* Medical Concerns (write N/A if this does not apply)* Special Requirements Message Received We'll get back to you shortly Well This is Embarrassing.. We had a problem processing your request. Please try reloading the page and submitting your request again. Alternately, you can email us directly at info@thailandclimbing.com
