Please complete this form before you leave for your trip

Your safety is our top priority and we’ll do everything we can to keep you out of harm’s way in Nepal. But in case of emergency, we need access to critical information including your emergency contact and travel insurance details. All trekkers must complete and submit this form before their trip.

Please be assured that we will not share the information you provide.

If you have any questions or concerns, please contact us.

    Your Details


    Your Emergency Contact Details

    My emergency contact speaks EnglishMy emergency contact speaks some EnglishMy emergency contact does not speak English

    Travel Insurance Details