Insurance details for the Manaslu Trail Race

Please fill out one form per person! Note, if you don’t have the information with you, you can click “save and continue later” below…

Facebook
This field is for validation purposes and should be left unchanged.
Your name*
First Last
Your email address*
So we can send you a copy of this information.
Insurance company name*
Please give the name of your insurance company
Policy number
Insurance company emergency phone number*
Please give the 24h number we should call to contact your insurance company
Insurance company email address*
If we need to send documents, doctors report etc. Please give the general email address of your
Personal emergency contact details*
Please give details of a contact person at home should that be necessary. Please provide: name, relationship, phone number, email address as appropriate.
If you have it, upload a PDF/JPG copy of your policy.
Drop files here or
Max. file size: 256 MB, Max. files: 5.
Any important comments about your insurance…
Please add if there is anything else we should know. Thanks!

Race dates