Travel Insurance
Please complete, sign and return this form to us.
Your health and safety on holiday are paramount to us, and it is essential that you are adequately covered by a travel insurance policy, which covers your trip with us. Please complete the following information and sign below, in order that we may keep a record on our files to assist you should an incident occur for which you may require medical emergency assistance:-
Booking Reference Number: .
Name of Insurance Company/Insurer: ..
Names of Persons covered by this policy: .
Policy Certificate number: .
Validity dates: From to ..
24 Hour medical emergency assistance providers telephone number:
We strongly recommend obtaining written confirmation from your own travel insurance provider that the cover they offer is appropriate for your requirements given the nature of your planned trip itinerary. If your insurer is unable or unwilling to provide the necessary confirmation, your insurance policy may not cover you for your trip with us. In this case we would be happy to suggest you arrange cover with our Travel insurance partners Campbell Irvine who are able to arrange cover to include any activity included as part of the pre-booked trip itinerary, or offered as an optional extension. Please contact us for further details about how to arrange cover with Campbell Irvine: http://www.campbellirvine.com/asp/quotationChooseSTMT.asp?aid=20
I confirm that I have contacted my Travel Insurers and have checked the following are covered by my insurance policy:-
1. Any relevant hazardous activities that you will be pursuing as part of your holiday, including the use of ropes and crampons and Trekking (to the appropriate height).
2. Helicopter or other relevant form of emergency medical rescue are covered, on the authority of The Walking and Climbing Companys guide/trek leader, when contact cannot be made with the insurer.
Sign
Date .
The Walking and Climbing Company is an Introducer Appointed Representative of Campbell Irvine Ltd who are authorised and regulated by the Financial Service Authority. This can be checked on the FSA's register by visiting the FSA's website at www.fsa.gov.uk or by contacting them on 0845 606 1234.