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Climbing Registration

Climbing Registration

 
General Information
Trip & Dates (select one):
*
Date *
Name *
Date of Birth: *
Gender: *
Home Phone: *
Cell Phone: *
Email Address: *
Emergency Contact Name & Phone: *
Experience & Abilities
Have you climbed, rapelled or participated in high ropes courses before?: *
How many years have you been climbing (if any): *
Describe any previous canyoneering, climbing, and/or mountaineering experience (if any): *
Please describe any formal training in rock climbing, ice climbing or rope work: *
Describe your typical weekly fitness program: *
List any allergies, medications, health concerns or injuries: *
Do you need to rent shoes and harness for the course ($15/day)? *
If renting shoes, what size?: *
Please explain your goals/expectations for this course: *
 
We had a blast. Thanks for a great day. I’m convinced that kids (and adults) who become proficient in rock climbing can do anything in life.
Jeanne

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