Application: Ice Climbing Seminar 2019
Email address *
First Name *
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Last Name *
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Birth Date *
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Member Since (e.g. July, 1984) *
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Street Address (e.g. 14416 Mt Rainier Court, Apt A) *
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City *
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State (e.g. WA) *
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Zip *
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Primary Phone Number (e.g. 509-978-9410) *
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Primary Phone Number Type *
Secondary Phone Number (e.g. 509-978-9410)
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Emergency Contact Name *
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Emergency Contact Relationship to You *
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Emergency Contact Phone Number *
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I have participated in the following schools and seminars offered by the Spokane Mountaineers: *
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I am comfortable building basic top rope anchors using bolts and natural features. *
I understand that this seminar may have a waiting list and, if accepted, am committed to attending an evening session Wednesday, February 6, from 6-8pm in the Spokane area, and Friday evening through Monday morning, February 15-18 in Bozeman Montana. *
Please write a couple of paragraphs, sharing your climbing experience and aspirations. *
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Please list any active members of the Spokane Mountaineers who have knowledge of your climbing experience and skills.
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Include any notes, questions, or special considerations below.
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