Aspirant Route Judge Information Form
* Required
First Name:
*
Your answer
Last Name:
*
Your answer
Cell Phone Number:
*
Your answer
Email Address:
*
Your answer
Previous Judging Experience:
*
(Check all that apply)
Sport & Speed Regional Championships
Sport & Speed Divisional Championships
Sport & Speed Youth National Championships
Sport & Speed Open National Championships
IFSC Event(s)
Bouldering Regional Championship
Bouldering Divisional Championship
Bouldering Youth National Championship
Bouldering Open National Championship
Other:
Required
You are interested in becoming:
*
(Check all that apply)
A Route Judge
A Regional / Divisional Chief Judge
A National Chief Judge
Other:
Required
Complete the information below for each child who is involved with USA Climbing.
Child #1 Name:
(First and Last)
Your answer
Child #1 Gender:
Choose
Male
Female
Child #1 Date of Birth:
MM
/
DD
/
YYYY
Child #2 Name:
(First and Last)
Your answer
Child #2 Gender:
Choose
Male
Female
Child #2 Date of Birth:
MM
/
DD
/
YYYY
Child #3 Name:
(First and Last)
Your answer
Child #3 Gender:
Choose
Male
Female
Child #3 Date of Birth:
MM
/
DD
/
YYYY
Submit
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