Urban Core Cimbing - Adventure Based Consulting

Course Registration Form

Please fill out one Winter RockCamp registration form per participant and submit to the UCC office before the camp begins.
Climber Name
Current Age
Mailing Address
City, State, Zip
Home Phone
Climbing Experience/Exposure
Has the Climber participated in a previous UCC camp or team?
Parent #1 Name
Cell Phone (if different)
Email
Parent #2
Cell Phone
Email

Are you interested in our other UCC programs for you or a family member?	Yes No
Would you like to receive updated information on any of these programs? Please check all that apply:	Summer Camp Series Recreational Team Program (Club Team, Jr. Team) Competitive Team Program (Jr. Competitive, Competitive Training Team) Private Lessons Group Lessons Saturday Young Climbers Series Diverse Needs

Payment Information
A deposit or full payment is required to reserve enrollment. The deposit is non-refundable. If registering more than one child, a deposit must be made for each child. All balances must be paid in full 2 weeks before the start of the camp date. Financial assistance is available.

Registration Fee	$220.00

Deposit Fee	$80.00
Total Deposit or Full Payment	Note: Please remember this total as you will need to fill it in when you click "buy now" on the next page.

Cancellation Policy
Cancellations more than 2 weeks prior to camp will be refunded less the non-refundable registration fee. Cancellations of camps fully paid within 2 weeks prior of camp will be refunded 50%. Cancellations within 1 week of camp cannot be refunded. No refunds or credits will be given to no shows. If a participant is forced to leave camp due to injury, illness or family emergency, a prorated amount of up to 50% of the fee may be refunded. UCC may cancel any camp due to weather, enrollment or logistics complications and will grant full credit towards another camp or UCC programs. I accept the terms of this cancellation policy and understand I will be responsible for payment of the agreed upon amount.
I accept	Yes No

Climbing Equipment Information

We give special thanks to photographer Tanya Malott of www.tanyamalott.com for our amazing images.

Urban Core Climbing is powered by ExperientialLife, LLC
Images Copyright © 2010 | Tanya Malott . Copyright © 2010 | Urban Core Climbing © 2010

Web Design by JP Micro