Application: Mountain School 2019
Email address *
First Name *
Your answer
Last Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Member Since (e.g. July, 1984) *
Your answer
Street Address (e.g. 14416 Mt Rainier Court, Apt A) *
Your answer
City *
Your answer
State (e.g. WA) *
Your answer
Zip *
Your answer
Primary Phone Number (e.g. 509-978-9410) *
Your answer
Primary Phone Number Type *
Secondary Phone Number (e.g. 509-978-9410)
Your answer
Secondary Phone Number Type
Emergency Contact Name *
Your answer
Emergency Contact Relationship to You *
Your answer
Emergency Contact Phone Number *
Your answer
Describe your backpacking experience in detail. If your experience is extensive, please choose a few representative trips to highlight different aspects of your backpacking experience. *
Your answer
Please write a paragraph or two, sharing your reasons for wanting to enroll in this school. What do you hope to gain? *
Your answer
Please describe your climbing experience and proficiency in detail. *
Your answer
Please list any members of the Spokane Mountaineers Climbing Committee or past graduates of Mountain School who have knowledge of your outdoor experience and skills.
Your answer
I am able to attend the classroom sessions, Wednesday evenings, 6:30 to 9pm, from February 27 through May 15, 2019. *
I am able to attend weekend sessions, most if not all weekends, from March 16 through May 27, 2019. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service