Big Rock Climbing Challenge

Please complete all details for your registration. A deposit of £20 will be required for each registration.

If you intend to participate in this challenge as part of a team (max 6 members), please register individually but please include the name of your team

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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Phone *

Date of Birth *

Are you an experienced climber? *

• Yes
• No

on Birth Phone

Please provide details of your climbing history

Are you part of a team? *

• Yes
• No

What is your team name ?

What is your preferred challenge time *

• 9:00 – 10:15
• 10:45 – 12:15
• 12:45 – 14:15
• 14:30 – 15:45
• 16:15 – 17:30

Have you decided on your climbing challenge – don't worry this is not needed right now!

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