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Expeditions Application

Fill out and send us the following form below or print and send any other documents by fax to 56-2-2174684
Print the form in PDF and fill out (make sure to include signature) Fax this form along with your deposit to KL Adventure.

Fields mark as * are REQUIRED

This is part of the first step in registering for a KL Expeditions departure This will help us to get acquainted with you. To enroll to climb any peak with us, fill out the:

  1. Trip Application
  2. Expedition questionnaire
  3. Do It Yourself (DIY) Medform.

Along with these 3 forms you must also send a $700 US $ deposit *.

Once enrolled, you will receive an acceptance package. This package will include the following: An acceptance letter, a detailed equipment list, a medical release form, to be filled out by your physician, a detailed training program, all of our pertinent contact information, along with all other necessary information regarding your individual expedition.

*See Refunds and Policies section above.

* I have read and I accept the:
1. Your desire program:
Aconcagua
Tupungato
Ojos del Salado
Llullaillaco
Antartica
Bolivia
Aconcagua Ameghino and Upper Guanacos route
Aconcagua Polish Glacier Traverse route
Aconcagua Polish Glacier route
Aconcagua Normal or Classic route
Aconcagua & El Plomo
Aconcagua & Ojos del Salado
Ojos del Salado 16 Days
San Pedro and Ojos del Salado 20 Days
Ojos del Salado & Aconcagua 28 Days
Guallatire & Sajama 14 Days
Huayna Potosi & Sajama
Huayna Potosi, Illimani & Sajama
Ojos del Salado & Aconcagua 28 Days
From Sunday, December 12, 2010 to Saturday, January 08, 2011
From Sunday, December 19, 2010 to Saturday, January 15, 2011
Ojos del Salado 16 Days
From Sunday, November 21, 2010 to Monday, December 06, 2010
From Sunday, December 05, 2010 to Monday, December 20, 2010
From Sunday, January 09, 2011 to Monday, January 24, 2011
San Pedro and Ojos del Salado 20 Days
From Sunday, November 07, 2010 to Friday, November 26, 2010
From Sunday, November 28, 2010 to Friday, December 17, 2010
From Sunday, December 19, 2010 to Friday, January 07, 2011
From Sunday, January 09, 2011 to Friday, January 28, 2011
Guallatire & Sajama 14 Days
From Sunday, July 04, 2010 to Saturday, July 17, 2010
From Sunday, July 18, 2010 to Saturday, July 31, 2010
From Sunday, August 01, 2010 to Saturday, August 14, 2010
From Sunday, August 22, 2010 to Saturday, September 04, 2010
Huayna Potosi & Sajama
From Sunday, July 04, 2010 to Monday, July 19, 2010
From Sunday, July 18, 2010 to Monday, August 02, 2010
From Sunday, August 01, 2010 to Monday, August 16, 2010
From Sunday, August 15, 2010 to Monday, August 30, 2010
Huayna Potosi, Illimani & Sajama
From Sunday, May 09, 2010 to Monday, May 24, 2010
From Sunday, May 23, 2010 to Monday, June 07, 2010
From Sunday, June 06, 2010 to Monday, June 21, 2010
From Sunday, June 20, 2010 to Monday, July 05, 2010
Aconcagua Ameghino and Upper Guanacos route
From Sunday, November 28, 2010 to Friday, December 17, 2010
From Friday, December 03, 2010 to Wednesday, December 22, 2010
From Sunday, December 19, 2010 to Friday, January 07, 2011
From Sunday, December 26, 2010 to Friday, January 14, 2011
From Sunday, January 09, 2011 to Friday, January 28, 2011
From Sunday, January 16, 2011 to Friday, February 04, 2011
From Sunday, January 23, 2011 to Friday, February 11, 2011
From Sunday, January 30, 2011 to Friday, February 18, 2011
Aconcagua Polish Glacier Traverse route
From Sunday, December 12, 2010 to Wednesday, December 29, 2010
From Sunday, December 26, 2010 to Friday, January 14, 2011
Aconcagua Polish Glacier route
From Sunday, November 28, 2010 to Friday, December 17, 2010
From Friday, December 03, 2010 to Wednesday, December 22, 2010
From Sunday, December 19, 2010 to Friday, January 07, 2011
From Sunday, December 26, 2010 to Friday, January 14, 2011
From Sunday, January 09, 2011 to Friday, January 28, 2011
From Sunday, January 16, 2011 to Friday, February 04, 2011
From Sunday, January 23, 2011 to Friday, February 11, 2011
From Sunday, January 30, 2011 to Friday, February 18, 2011
From Sunday, December 12, 2010 to Friday, December 31, 2010
Aconcagua Normal or Classic route
From Sunday, December 05, 2010 to Wednesday, December 22, 2010
From Sunday, December 12, 2010 to Wednesday, December 29, 2010
From Sunday, December 19, 2010 to Wednesday, January 05, 2011
From Sunday, January 09, 2011 to Wednesday, January 26, 2011
From Sunday, January 16, 2011 to Wednesday, February 02, 2011
From Sunday, January 02, 2011 to Wednesday, January 19, 2011
Aconcagua & El Plomo
From Sunday, December 19, 2010 to Friday, January 07, 2011
From Sunday, January 09, 2011 to Friday, January 28, 2011
Aconcagua & Ojos del Salado
From Sunday, November 21, 2010 to Monday, December 06, 2010
From Sunday, December 05, 2010 to Monday, December 20, 2010
From Sunday, January 09, 2011 to Monday, January 24, 2011
Tupungato 17 Days
From Sunday, December 12, 2010 to Tuesday, December 28, 2010
From Sunday, January 09, 2011 to Tuesday, January 25, 2011
San Pedro & Llullaillaco 18 Days
From Sunday, June 27, 2010 to Tuesday, July 13, 2010
From Sunday, July 18, 2010 to Tuesday, August 03, 2010
From Sunday, August 08, 2010 to Tuesday, August 24, 2010
From Sunday, September 12, 2010 to Tuesday, September 28, 2010
From Sunday, October 10, 2010 to Tuesday, October 26, 2010
Antartica
Select date:
Other:
With private porters Without private porters
2. Client Information
Name: *
Address: *
City: *
State: *
ZIP / Postal Code:
Country: *
Other Country:
Home Phone: *
Work Phone: *
Mobile Phone: *
Email: *
Occupation: *
Passport Nr: *
Issue Date: *
Expire Date: *
Nationality: *
Age: *
Date of Birth : *
Height: *
Weight: *
Shoe Size: *
Blood group / Rhesus factor: *
3. Climbing experience
Please specified clearly year, mountain, route, altitude achieve, company & guide with who did you participate. *
4. Special requirement
Single Room Hotel Reservation
Note: Single supplement concern ONLY hotel booking and NOT the single tent use during the trekking programs. Please contact us in case you desire a single tent supplement all time.
Climbing Equipment: Yes No*
Size Product US $
Tents: North Face - Mountain Hardware Marmot 150
Climbing boots Salomon double shell 140
Expeditions Down Parka (Mountain Hardware) 120
Internal frame Backpack (6000 + cubic inches or 90 liters) 100
Down sleeping bag -26 degrees C with silk liner 140
Gaiters 20
Ice axe and leash 60-70 cm 50
Crampons compatible with your boots 50
Harness 30
Trekking adjustable ski poles 50
Expeditions down Mittens 50

Global rescueKL Expeditions strongly recommends that you sign up for a Global Rescue membership for the length of your trip. Global Rescue is a medical evacuation provider that is capable of rescuing you from our remote locations and bringing you back to your home country hospital of choice. Their phones are staffed 24/7 by paramedics which are backed by over 2400 specialists from Johns Hopkins Medicine. For more information and to receive a 10% discount upon signing up, visit www.globalrescue.com/kl.

Travel Guard, Travel Insurance
6. How did you learn about KL Adventure?*
 

KL Adventure SA

Ski Tours, Heliski, Expeditions & Treks in the Andes.
Aconcagua - Atacama Desert - Torres del Paine - Ojos del Salado - Mt. Vinson Antarctica & Bolivia mountains.

Head Office: Augusto Mira Fernandez 14248, Las Condes, Santiago, Chile
Phones: (56-2) 217 9101 & 955 12 54
Mobile: (56-9) 9 018 22 55 - Fax: (56-2) 217 46 84

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USA

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All Photos taken by Joaquin Oyarzún, except indicated as * -

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