Registration Form

Please have climber complete registration form.


Climber Name:
Age:
Phone
Parent(s) Name:
Cell Phone:
Emergency Contact:
Climbing Experience:
Have you participated in a UCC hosted program?	Yes No
What do you want to gain from this workshop?
What are your climbing goals this season?
What are your climbing and/or competition strengths?
What are your climbing and/or competition weaknesses?
What is your Red-point grade?
What is your On-sight grade?
Lead Climbing Certified:	Yes No
Are you a vegetarian?
Food allergies?
Do you need housing?

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

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