Urban Core Cimbing - Adventure Based Consulting

Course Registration Form

Please fill out one WAITING LIST registration form per participant and submit to the UCC office.
Camp(s) Camp 1 (BoulderFest!), June 7-9 (FULL) Camp 2 (My First Climbing Camp), June 28-July 1 Camp 3 (Ground School 101) July 19-23 (FULL) Camp 4 (First Assents!), August 2-6
Name
Nickname
Address
City, State, Zip
Home Phone
Email
Birthdate (As of June 15, 2010)
School Grade
Height
Weight
Gender	Male Female
T-Shirt Size
Parent(s)
Home Phone (if different)
Cell Phone
Who
Cell Phone
Who
Email
Who
Email
Who
How did you find out about this camp?
What is your previous climbing and adventure experience?
What would you like to learn and experience from this camp?

Please choose a camp waiting list option:	Camp 1:

Climbing Equipment Information
*(Camp 1 and 4 participants only)* Please check gear that you would like UCC to provide. Refer to the Camp Gear List for more information on what to bring to camp. All climbing equipment must be UIAA approved.
Gear	Climbing Helmet Harness Climbing Shoes Size

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

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