GRR Lead/Outdoor Skills Course Application
Please fill out each section of the following application and wait to be contacted by our Lead Instructor. Courses are scheduled on a first-come, first-served basis.

Please ensure BOTH partners from a lead climbing team complete the application.

Email address *
FULL NAME - First & LAST *
Your answer
PERSONAL INFORMATION
Please include as much information as possible... the more the better!
PHONE NUMBER (xxx)xxx-xxxx *
Your answer
CONTACT PREFERENCE (select all applicable) *
Required
WEIGHT (LBS) *
Your answer
AGE (must be 13+) *
Your answer
WHAT COURSE ARE YOU APPLYING FOR? *
Next
Never submit passwords through Google Forms.
This form was created inside of Grand River Rocks. Report Abuse - Terms of Service - Additional Terms