Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Lead lesson application
Please review lead lesson FAQs carefully before submitting this form. Once we've received you request, we'll look for an available instructor.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First participant's full name
*
Your answer
First participant's email address
*
Your answer
Second participant's full name
*
Your answer
Second participant's email address
*
Your answer
Third participant's full name (optional)
Your answer
Third participant's email address
Your answer
Have all participants passed a top-rope test at Joe Rockhead's?
*
Yes
No
How long have you been climbing? If answers differ between participants, select the shortest time.
*
Less than three months
Between three and six months
More than six months
How often do you climb? If answers differ between participants, select the lowest number.
*
Less than once a week
Once or twice per week
Three or more times per week
Which statement best represents your top-roping? If answers differ between participants, select the lowest grade.
*
I can climb all 5.9s and some 5.10s
I can climb some 5.10s on my first try, and almost all 5.10s within a few tries
5.10 is easy
Which statement best describes your bouldering? If answers differ between participants, select the lowest grade.
*
I can climb every yellow tape boulder and most orange tape boulders at Joe Rockhead's? In gyms that use the V-grade system, this is equivalent to V1/V2.
I can climb every orange tape boulders and some green tape (V3) boulders
Most green tape boulders are easy and I can climb every green tape with a bit of work.
Green tape is easy
Please indicate your weekly availability for lessons.
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Clear selection
What is your preferred start date/week?
*
MM
/
DD
/
YYYY
Are you and your partner available to climb at least three days a week (i.e. one lesson and two practice sessions) for the duration of the course?
*
Yes
No
Do you have, or do you intend to get, a climbing rope, Grigri, and screw-lock carabiner to use or the course?
Yes
No
Clear selection
If you are only taking the course with one other person, do you know a third person who has passed the top-rope test at Joe Rockhead's who can help with your weekly practice sessions?
Yes
No
Clear selection
Is there more than a 30% weight difference between you and your partner(s)?
*
Yes
No
Please add any additional comments, requests, or questions below.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Up The Bloc / Joe Rockhead's.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report