Registration Form

Applicant Information

Name: Click here to enter text.

Date of Birth - year/month/day (example 75/08/19):Click here to enter text.

Mailing Address:Click here to enter text.

City:Click here to enter text.

Province:Click here to enter text.

Postal Code:Click here to enter text.

Home Phone: Click here to enter text.

Work Phone: Click here to enter text.

Cell:Click here to enter text.

Email:Click here to enter text.

Note: Your contact information will be shared with other participants. Contact the ACMG office if you do not want your information shared.

Emergency Contact Information

Emergency Contact: Click here to enter text.

Relationship to you:Click here to enter text.

Address:Click here to enter text.

City:Click here to enter text.

Province:Click here to enter text.

Postal Code:Click here to enter text.

Home Phone:Click here to enter text.

Work Phone:Click here to enter text.

Email:Click here to enter text.

Medical Information

ALL applicants are required to complete the questionnaire below.

(Y/N) If yes please specify and/or send in relevant details with your application package.

Do you have any drug allergies?Click here to enter text.

Do you take medications?Click here to enter text.

Do you have any medical conditions that the instructors need to be aware of?Click here to enter text.

Do you have any food allergies/preferences?Click here to enter text.

Select Course(s) that you are registering for.Include date and location of course or exam.

  • ASSISTANT HIKINGGUIDEEXAM:Click here to enter text.
  • HIKINGGUIDEEXAM:Click here to enter text.
  • WINTERHIKINGCOURSE:Click here to enter text.
  • CLIMBING GYM INSTRUCTOR LEVEL 1 EXAM:Click here to enter text.
  • CLIMBING GYM INSTRUCTOR LEVEL 2 EXAM:Click here to enter text.
  • TOP ROPE CLIMBING INSTRUCTOR EXAM:Click here to enter text.
  • VIA FERRATAGUIDECOURSE:Click here to enter text.
  • GUIDE TRAININGICECOURSE:Click here to enter text.
  • GUIDE TRAINING ALPINECOURSE:Click here to enter text.
  • ALPINE GUIDE EXAMPREPCOURSE:Click here to enter text.
  • APPRENTICE ALPINEGUIDEEXAM:Click here to enter text.
  • ALPINEGUIDEEXAM:Click here to enter text.
  • GUIDE TRAINING SKI - ALPINE SKILLS COURSE: Click here to enter text.
  • GUIDE TRAINING SKI – MECHANIZED COURSE:Click here to enter text.
  • GUIDE TRAINING SKI – TOURING COURSE: Click here to enter text.
  • SKI GUIDE EXAMPREPCOURSE:Click here to enter text.
  • APPRENTICE SKIGUIDEEXAM:Click here to enter text.
  • SKIGUIDEEXAM:Click here to enter text.
  • GUIDE TRAININGROCKCOURSE:Click here to enter text.
  • ROCK GUIDE EXAMPREPCOURSE:Click here to enter text.
  • APPRENTICE ROCKGUIDEEXAM:Click here to enter text.
  • ROCKGUIDE EXAM:Click here to enter text.

Have you previously taken any of the above courses? (Yes or No):Click here to enter text.

If yes, which one(s): Click here to enter text.

Are you currently a member of the ACMG? – (Yes or No):Click here to enter text.