Registration
We are excited to host our 14th Annual Vertical Challenge Climbing Competition on Sunday, December 29th 2019. You are registering for the Adult Intermediate Category. Adult Intermediate climbers are capable of red pointing grades between 5.9-5.10d and have Never red pointed harder than 10d.
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 yes, your account will be charged an additional $10*
If you would like a Tshirt, what size? Youth Small, Youth Medium, Youth Large Adult XS, Adult S, Adult M, Adult L, Adult 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:*