Flory Kern: Anmelden

Name and Date of birth

Salutation

Title

surname*

last name*

Date of birth

Place of birth

Nationality

Passport

passport number

place of issue

valid until

passport copy existing

Yes

Upload Scan Passport Max. filesize 5MB, allowed types: jpeg, gif, png

Contact details

Please enter your personal main email address, via which you would like to communicate with us.

E-Mail 1*

E-Mail 2

Mobile*

Phone home

Emergency telephone code*

surname and lastname emergency person

Address

Street*

ZIP*

City*

Country*

Health insurance

Insured

Yes

Insurance

Number

Data forwarding *

I agree that pictures taken by and with me during a trip or event of Flory Kern Ski Berge Abenteuer GmbH may be published in social media such as Facebook. Facebook, Instagram, Vimeo, Youtube and on our website.

Yes

I agree that my name, address and / or telephone number will be shared with other travel participants in connection with the organization of the journey. This agreement can be revoked at any time.

Yes

Flight booking

Requested

Yes

Airport takeoff

Airport arrival

Hotel and Food

Room

Hotel remarks

Food

All

Vegetarian

Vegan

* unter Vorbehalt Reiseziel und Hotel!

Sport and Fitness

Sport equipment

The use of safety equipment (avalanche device, shovel, probe) is obligatory. Airbag system is optional. I want to rent the safety equipment (avalanche device, shovel, probe):

Yes

Physical fitness*

Skiing abilities*

Health

Health problems?

Necessary medication?

I have read the and agreed to the travel conditions of Flory Kern GmbH as part of the travel contract and the journey description.**

I agree to the privacy policy of Flory Kern GmbH*

The information given by me in this form is correct.**

Booking form