Registration
We are excited to host our 13th Annual Vertical Challenge Climbing Competition on Sunday, December 30th 2018. This event is open to youth and adult climbers of all abilities.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Would you like a Tshirt **If you select YES, your account will be charged an additional $10 for a Tshirt***
If you are ordering a tshirt - what size? Youth S, M, L Adult XS, S, M, L, XL*
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*