LEC Mobile Climbing Wall Request Form
All mobile climbing wall requests need to be made at least one week prior to the event. The request does not guarantee the wall(s) will be available for the request date. A council employee will reach out to confirm information. For more information or questions contact Program Specialist, Jake Brown, by emailing LECClimbingWall@scouting.org.
First Name: *
Your answer
Last Name: *
Your answer
Unit Number (if applicable)
Your answer
Phone: *
Your answer
Email: *
Your answer
Will this event be: *
Request date Use
MM
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DD
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YYYY
Start Time
Time
:
End Time
Time
:
Name of Event
Your answer
Location of Wall (i.e. Church parking lot, VFW front lawn, etc.)
Your answer
Street Address of Event *
Your answer
City of Event *
Your answer
9-Digit Zip Code of Event *
Your answer
County of the Event
Your answer
Submit
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