Rock Climbing in Nepal, Canyoning Nepal Waterfalls – Hardcore Nepal Extreme Adventures

If you are booking a custom trip with us, or you would like to pre-book, please use this form to submit your booking. We will send you a Paypal invoice and itinerary via email.

Trip booking form

Please fill out the form below to book your trip with us. We will get back to you as soon as possible after we have received your booking.

Trip information
Trip*
Date*
Date Format: DD slash MM slash YYYY
Personal information
Name*
First Last
Recent photo*
Accepted file types: jpg, png, bmp, jpeg.
Attach Passport photo - we need these for trekking/climbing permits.
Date of birth*
Date Format: DD slash MM slash YYYY
Nationality*
Email address*
Passport number*
Phone*
Phone in Nepal
Address in Nepal
Street Address City State / Province / Region ZIP / Postal Code
Emergency contact person
Name*
First Last
Relationship*
Phone*
Insurance
Insurance provider
Insurance policy number
Insurance contact number
Medical and dietary information
Known medical conditions
Food allergies
Are you a vegetarian?*
- Yes
- No
Presumption of Risk
There are elements of risk involved in extreme outdoor sports. All participants are required to be protected by insurance which covers accidents, injury, emergency care and transportation, loss, damage, and fatality. By signing this form you have released Hardcore Nepal Extreme Adventure, Pvt., Ltd., and all of its shareholders and benefactors from any liability, and take full responsibility to participate in Hardcore Nepal’s tours and activities at your own risk and expense.
You acknowledge that this a liability release and a legally binding contract between you and Most Hardcore Nepal, Pvt. Ltd., and TREKT Himalaya, LLC its affiliates, agents, associates, and suppliers. You are signing of your own free will on behalf of yourself, your heirs, executors/administrators, family members, and any minors you have brought with you.
By submitting this booking form you acknowledge the above terms and conditions, and hereby declare that you are of reasonable fitness, and that you do not suffer from any medical conditions that would endanger yourself or others.
Name
This field is for validation purposes and should be left unchanged.

Pre-Book Form

Trip booking form

Trip information

Personal information

Emergency contact person

Insurance

Medical and dietary information

Presumption of Risk

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