Questions? Call us at 360.393.8098 or email us at info@peregrineexpeditions.com

Mountaineering Registration

Mountaineering 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? *
Please describe previous back packing, mountaineering and overall outdoor experience (if any): *
Describe your typical weekly fitness program: *
Describe other outdoor pursuits and athletic interests: *
List any allergies, medications, health concerns or injuries: *
 
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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