Skier Information Please have each skier on your trip fill out this form to submit their information prior to your trip. "*" indicates required fields Trip Information* = Required FieldDestination* Chile Patagonia Argentina Antarctica Select your base - Chile* Altiplanico Lodge / Maipo Valley Puma Lodge VIK Lodge / Cipreses Valley Clos Apalta Santiago - Mandarin Santiago - Noi Patagonia Grand Class Exclusive Charter - $630,000 Andes Heli-Assisted Ski Touring Package - $6,900 Combination Trips Select your trip - Patagonia* Uman Lodge Patagonia Grand Class Exclusive Charter - $630,000 Uman Lodge Trips* Uman Lodge Private Week - $38,000 Uman Lodge Ultra Private Week - $45,000 Combination Trips* Puma Lodge (4N), VIK Lodge (2N) & Santiago (1N) - $19,000 Ultra Private - Puma Lodge (4N), VIK Lodge (2N) & Santiago (1N) - $30,000 Puma Lodge (3N) & Santiago (4N) - $18,500 Ultra Private - Puma Lodge (3N) & Santiago (4N) - $30,000 Puma Lodge Trip Selection* 3 Day - $8,500 4 Day - $10,600 5 Day - $12,000 6 Day Semi-Private - $14,000 6 Day Private - $17,000 6 Day Ultra Private - $29,000 Altiplanico Lodge Trip Selection* 3 Day - $8,000 4 Day - $10,000 5 Day - $12,200 6 Day Semi-Private - $14,000 6 Day Private - $16,000 VIK Lodge Trip Selection* 3 Day Private - $11,000 4 Day Private - $14,500 5 Day Private - $16,500 6 Day Private - $19,000 6 Day Ultra Private - $32,000 Clos Apalta Trip Selection* 3 Day Private - $11,000 4 Day Private - $14,500 5 Day Private - $16,500 6 Day Private - $19,000 6 Day Ultra Private - $32,000 Santiago - Mandarin* 3 Day - $11,000 4 Day - $14,000 5 Day - $15,500 6 Day Private - $17,500 6 Day Ultra Private - $30,000 Santiago - Noi* 3 Day - $9,000 4 Day - $11,000 5 Day - $12,500 6 Day Private - $16,000 Argentina Trip Selection* 3 Days Uco Valley Heli-Ski Package - 8 people - $7,000 per skier Semi Private Uco Valley Heli-Ski Package - $10,000 per skier Private Uco Valley Heli-Package - $14,000 per skier Antarctica Cruise Lodging Options* Lower Deck (porthole) – $13,995 Single Porthole – $19,995 French Balcony – $14,495 Balcony State Room – $15,495 Balcony Suite – $18,995 Junior Balcony Suite – $20,995 Premium Balcony Suite – $22,495 Antarctica Adventure Activity Options Backcountry Skiing - $1,500 Sea Kayaking - $1,200 Snowshoe Trekking - $600 Select your desired heli week*2024 Dates:Week #1 – June 29 – July 06Week #2 – July 06 – July 13Week #3 – July 13 – July 20Week #4 – July 20 – July 27Week #5 – July 27 – August 03Week #6 – August 03 – August 10Week #7 – August 10 – August 17Week #8 – August 17 – August 24Week #9 – August 24 – August 31Week #10 – August 31 – September 07Week #11 – September 07 – September 14Week #12 – September 14 – September 21Select your desired heli week*2024 Dates:Week #12 – September 14 – September 21Week #13 – September 21 – September 28Week #14 – September 28 – October 05Week #15 – October 05 – October 12Trip DatesOctober 18 – October 30, 2023Your InformationName* First Last Email* Enter Email Confirm Email Phone*Occupation Passport # Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender* Male Female Height / Weight* Medical InformationDo you have allergies?* Yes No Please provide detailsDo you take any medications* Yes No Please list medicationsDo you have any food allergies or dietary needs?* Yes No Details of your food allergies / dietary needsEmergency NotificationName (emergency contact)* Email (emergency contact)* Backup Email (emergency contact) Phone (emergency contact)*Backup Phone (emergency contact)Skiing AbilityI'm a*SkierSnowboarderTelemarkerAbility Level*IntermediateAdvancedExpertBoot sole length* in mmSkills and InterestsSkill level (Please chose with 5 being the top level of ability)Deep Powder*12345Steep Terrain*12345Minimum standards: Powder South Heliski-Guides cater to advanced skiers. You need to be strong and solid skiers. If a client skiing or snowboarding ability is not up to the standards necessary to ski with Powder South Heliski-Guides, we reserve the right to refuse service without any refund. A client must be and advanced skier, capable of skiing black diamond terrain comfortably in a variety of snow, terrain and weather conditions.LodgingPowder South will accommodate your lodging desire according to the availability in the nearest place where the heli-packages is taking place.Accommodation*SingleDouble TwinDouble KingApartmentChaletWaiver & Policy AgreementWaiver* I have read and accept the Powder South waiver and policies I have read and i accept the acknowledgment of and assumption of risks powder south heli-ski waiver & powder south policyEmailThis field is for validation purposes and should be left unchanged.