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None, I am completely new to the outdoors
I have climbed outdoors before, but might need a refresher
I am comfortable climbing outdoors (top rope only)
I am comfortable climbing outdoors (including lead belay).
I am experienced climbing outdoors and willing to assist
Other…
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Yes
No
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Yes
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Full Name
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Contact number
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Experience
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Do you have any underlying health conditions or injuries that you wish to inform the trip leader about?
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Are you a current SURMC member?
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Membership expiry date
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Emergency Contact (Name)
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Emergency Contact (Number)
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Rock climbing is an inherently dangerous activity. While risks may be mitigated, they cannot be eliminated. The nature of these risks are: environmental hazards; human error; and equipment failure. SURMC cannot ensure your safety on our trips; your participation is at your own risk. Please select 'Yes' if you have read and understood this.
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