Reservation Form

STEP 1 Before filling the form you must read our Terms & Conditions, if you continue with the next steps we understand that you have read our Terms & Conditions and that you will sign the Waiver in agreement.

STEP 2 Fill the fields in the form containing your personal information (General data, Medical form and Emergency contact), the Services you are booking, the data needed to make the advance payment (advance payment amount and credit card data), and the Waiver and Release of Liability. Consider that only fields marked with * are mandatory but we would appreciate if you can fill them all of them for our information. If you are not sure how to fill-out the booking form, please get into the instructions page.

STEP 3 If you failed sending the form, you can download a PDF version of the Booking Form that you can print, fill-out and sign it before sending it to the fax number (591-2) 241-3273.

Reservation Details

Medical Form

Emergency contact

Services booked

Advance Payment Form


,have been informed and am aware that adventure travel can be dangerous and includes certain risks and dangers that are an integral part of the trips and travel conditions and I accept them as a part of the reason for my participation on this trip.
Having my application being accepted by ANDEAN SUMMITS, I hereby agree as follows :

I release ANDEAN SUMMITS for all or any liability for any losses, damages or injuries or any claim or demand on account of any injury to my person or property.
I agree that if I am injured or ill, ANDEAN SUMMITS may, at my cost, arrange or supply medical treatment, evacuation or any other emergency services on my behalf as ANDEAN SUMMITS seems necessary or appropriate for my safety and well being.
I have read and agree to ANDEAN SUMMITS policies, stated under the terms and conditions.
I am aware I should purchase insurance coverage
I further agree that I will not have any illegal drugs on my person or in my possession when partaking in any part of any ANDEAN SUMMITS trips.

I have read and understand all the terms of this contract and agree to it of my own free will and without any reservation.

By entering my full name into the Signature Field below, I agree that is accepted as my signature for this transaction.

I have read and understand all the terms of this contract and agree to it of my own free will and without any reservation.

Client signature
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