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2017 Annual Youth Rock Climbing Lock-in Registration Form
When: Friday, July 28th - Saturday, July 29th, 2017 (7:00 pm to 7:00 am)
Who: Agrawal Youth (ages 10+)
Where: Texas Rock Gym @ 1526 CAMPBELL ROAD, HOUSTON, TX 77055
Cost: Early Registration- $35 until July 20th
Late Registration- $45 starting July 21st
**Cost covers food and usage of the facility

Email address *
Registration & Waivers
1.) Please fill out the required contact information to register the participants for the 2017 Lock-In.
Adult's registration starts at Page 2 (ages 18+)
Children's registration starts at Page 5 (ages 10-18)

2.) Agrawal Association Waiver
See our website for this waiver. Please print, sign, and bring with you to the event for each child!

3.) Texas Rock Gym Waiver - http://www.texasrockgym.com/waivers/
Please click link to fill out the Texas Rock Gym Waiver for EACH CHILD! Very important you complete this prior to event.

Regards,
The Youth Committee

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