OHC Emergency Information Form

This emergency information form will be confidential and only shared with our Operations Manager, General Manager, and assigned backcountry guides.

Participant Legal Name

First Name

Last Name

Date of Birth

Assigned sex at birth

Preferred Pronouns

Height & Weight

Describe your overall level of fitness

Share two emergency contacts

Name, phone number, email, and relationship to participant

Medical conditions (past or present)

Any known allergies

Current Medications

Prior hospitalizations

Any other medical conditions or other information that you want to share with your guide