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 - $9,300 4 Day - $11,500 5 Day - $12,900 6 Day Semi-Private - $15,400 6 Day Private - $18,000 6 Day Ultra Private - $29,000 Altiplanico Lodge Trip Selection* 3 Day - $8,700 4 Day - $11,000 5 Day - $12,600 6 Day Semi-Private - $14,800 6 Day Private - $17,000 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*2025 Dates:Week #1 – June 28 – July 05Week #2 – July 05 – July 12Week #3 – July 12 – July 19Week #4 – July 19 – July 26Week #5 – July 26 – August 02Week #6 – August 02 – August 09Week #7 – August 09 – August 16Week #8 – August 16 – August 23Week #9 – August 23 – August 30Week #10 – August 30 – September 06Week #11 – September 06 – September 13Week #12 – September 13 – September 20Select your desired heli week*2025 Dates:Week #12 – September 13 – September 20Week #13 – September 20 – September 27Week #14 – September 27 – October 04Week #15 – October 04 – October 11Week #16 – October 11 – October 18Week #17 – October 18 – October 25Week #18 – October 25 – November 01Trip DatesOctober 18 – October 30, 2023Your InformationName* First Last Email* Enter Email Confirm Email Phone*Occupation Passport # Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender* Male Female 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 Ability / Din Setting InfoI'm a*SkierSnowboarderTelemarkerAge* Height / Weight* Ability Level*IntermediateAdvancedExpertBoot sole length* in mmBoot Size* Ski length* in cmSkills and InterestsSkill level (Please chose with 5 being the top level of ability)Deep Powder*12345Steep Terrain*12345LodgingPowder 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 policyCommentsThis field is for validation purposes and should be left unchanged.