Event Sign-Up Feb 24, 2019
Event Location: TBA
This Event is for current ACC Members of the Thunder Bay Section.
For more information contact: Frank Pianka at...
OPEN Ice Climbing Event
Last Name, First Name
Are you a current ACC Member?
ACC Membership Number (if you know it)
Phone Number with Area Code:
Is this a cell phone number with SMS text?
For ACC Family Memberships - please list others who will be attending this Event.
Select Club Equipment you need to borrow: (No Guarantees on availability. We have limited equipment on a 'first come' basis to members. N.B. Axes can be shared at the Event.)
NONE. I have my personal equipment for this event.
Helmet and/or Harness
Crampons (for use by Members who own vertical ice climbing boots)
N.B. If you need to rent Climbing Boots/Crampons, please contact Wilderness Supply. Follow the Link under the Event descriptor.
Ice Climbing Level:
NEW Beginner I - Never Climbed anything before
Beginner II - some basic climbing experience; have some gear
Beginner III - comfortable rock climbing & belaying; have harness, helmet, belay device
Beginner IV - some experience on Ice and/or Rock; have basic gear
Beginner V - first or second year ice climbing; have all my own gear
Intermediate I - have my own personal Ice Climbing gear, but typically don't lead on ice
Intermediate II - Int I + some experience leading easier ice climbs up to WI2+
Intermediate III - comfortable 'second' up to WI5 ice, and multi-pitch belay
Advanced - Lead Ice Climbs up to WI 4; Have gear to spare!
Do you need a ride to the Event site?
Can you provide a ride for another member(s) to the Event? If YES, for how many?
Are you willing to Assist in a Leadership Capacity? (i.e. help with gear - set up, tear down; assist new members)
Yes (...you will be contacted by the Sr. Event Leader prior to the event.)
Any Allergies or Medical Conditions Leaders need to be aware of:
If you answered 'YES" above, please explain:
Other information you feel the Leaders need to know about you for this event:
Personal Experience, Expertise, Gear (Check ALL that apply to You)
Ice Climbing First Season; some personal gear
Ice Climbing More than 1 year; harness & helmet
Belay Device and knowledge of Top Rope belay
Personal Safety Lanyard (PAS or similar - NOT a daisy chain!)
Ice Climbing Boots
Anchor building and knot skills
Top belay / multi-pitch climb
Lead Ice Climb up to WI2+
Lead Ice Climb above WI3
Wilderness First Aid
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service