What program(s) are you signing up for? *

Afterschool Club (Ages 6 - 10)

Youth Recreational Team (Ages 9 - 12)

Teen Recreational Team (Ages 13 - 18)

Competition Team (Ages 10 - 18)

Climber's Name *

First Name

Last Name

Climber's Date of Birth *

MM

DD

YYYY

Parent Phone *

(###)

###

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Waivers Checklist *

Please check that you have completed all three waivers (see boxes below)

Liability Waiver

Field Trip Waiver

Membership Agreement

Which Camp session(s) are you signing up for? *

July 8 - 11

July 15 - 18

July 22 - 25

July 29 - Aug 1

Aug 5 - 8

Aug 12 - 15

Aug 19 - 22

Climber's Name *

First Name

Last Name

Climber's Date of Birth *

MM

DD

YYYY

Parent Phone *

(###)

###

####

Waivers Checklist *

Please check that you have completed both waivers (see boxes below)

Liability Waiver

Field Trip Waiver