Taiwan Trek Registration

A deposit of S$ 400 per person is required upon confirmation and the balance must be paid in full 30 days prior to the departure date. Non-payment by required date may result in the cancellation of your booking and subjected to cancellation charges.
Enjoy 15% discount for travel gears at X-Boundaries when you join an adventure with us!
Trekking in Taiwan
- * denotes compulsory entry
Promo Code (if any)
Destination*
- Jade Mountain
- Snow Mountain
- Nanhu Mountain
- Jiaming Lake
Please select trek
Start Date*
DD slash MM slash YYYY
End Date*
DD slash MM slash YYYY

Participant’s Particulars
Name (As in Passport)*
Chinese Name

In Chinese Character (If any)
Gender*
Date of birth*
DD slash MM slash YYYY
Passport Number*

Please ensure is at least 6 months validity from date of entry
Send Passport Copy*
Max. file size: 128 MB.
Nationality*
Age*
Contact Number*
Email Address*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Height / weight / shoe size*
Meal Preference or Allergy*
Person To Notify In Case Of Emergency
Emergency Contact Name*
Relation
Emergency Number*

Please Describe Your Health And Outdoor Background
Trek Experience
Please describe your trek experience in short
Drug Allergy*
I do not ever have or am still having any of the following:*
- Agree
- Disagree
Epilepsy, fainting attacks, migraine, severe head injury, Previous fractures, tendon/ligament damage, Previous operations, Suffering from or carrier of any infectious disease (e.g. hepatitis B), Physical disabilities, On medications now, Other past illnesses
If disagree, please give details
Remarks

ASSUMPTION OF ALL RISKS AND RELEASE OF LIABILITY*
- Agree
I am aware that my/my child's/my ward's attendance in the trip under the arrangements of X-Trekkers Adventure Consultant Pte Ltd ("X-Trekkers") and its agents or associates, involves a certain amount of risk. It is also intended only for those without significant medical problems (including recent infections or injuries). I shall not hold the X-Trekkers' staff, agent or contractor responsible for any damage to or loss of property or any injury or loss of life which may be sustained by me/my child/my ward during the expedition or arising from any cause in connection with the trip. I have also carefully read and do agree to all the conditions as stated under the heading “Terms and Conditions”, especially noting the policy on cancellations and refunds. I have also carefully read the above paragraphs, Assumption of All Risks and Release of Liability.
Travel Insurance*
- Agree
I acknowledge to have being advised by X-Trekkers Consultant Pte Ltd ("X-Trekkers") of purchasing a comprehensive “travel insurance policy” to protect myself/ourselves against unforeseen circumstances such as baggage loss, flight delays, travel agent solvency and medical emergencies.
Privacy Policy*
- Agree
I confirm that I consent to X-Trekkers Adventure Consultant Pte Ltd ("X-Trekkers")'s collection and use of my personal data for the purpose of this booking, as well as disclosure to X-Trekkers's employees, systems, third party processing systems and other third party service providers such as hotel operator for the purpose of the above booking. For more information, please refer to our “Privacy Policy”.
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Taiwan Trek Registration

Step 1 of 4

Trekking in Taiwan

Participant’s Particulars

Person To Notify In Case Of Emergency

Please Describe Your Health And Outdoor Background