Bear Mountaineering & The Burnie Glacier Chalet - Let your spirit soar

Courses, Trips & Burnie Glacier Chalet Registration

Use the form below to register for any of our services. Be sure to check our Schedules & Bookings Page for all courses, trips and Burnie Glacier Chalet.

Before you fill out the online registration form, please read
our booking conditions.

Online Registration Form

Online Registration Form

Contact Information

First Name
Last Name
Street Address
City
State/Province
Postal Code
Country
Email
Phone

Male     Female Shoe Size

Mountain Experience

Previous Mountain Experience

Emergency Contact Person

Please indicate the name, address, and phone number of a person to be contacted in case of an emergency.

Emergency Contact

Program / Trip / Expedition Information

Which Programme are you interested in? - OR -
What custom trip / expedition would you like to create?

Program/Expedition/Custom Trip

Is there a particular date you would prefer?

Deposit / Payment Information

Deposit (50% of total trip cost)
Total Amount

Additional Comments

Read our Privacy Policy

Waivers

You will be required to read and sign a waiver and a medical form before starting the trip. You can download these forms by clicking the links below:

• Download: Summer Guided Waiver (pdf)
• Download: Summer Self-Guided Waiver (pdf)
• Download: Winter Guided Waiver (pdf)
• Download: Winter Self-Guided Waiver (pdf)

Thank You

Thank you for coming on this trip. I am looking forward to being in the mountains with you.