Adaptive Rock Climbing-Sign Up Form
This 4-week adaptive rock climbing series is for Sportable athletes and students or faculty at VCU with a physical disability or visual impairment. The series will be hosted by VCU's Outdoor Adventure Program at the Cary Street Gym, on February 1st, February 15th, February 22nd, and March 1st. Participants can expect to receive introductory instruction to rock climbing and all necessary equipment will be provided.

Participants will be served on a first come, first served basis in a one-hour climbing session, from either 7-8pm or 8-9pm. Priority will be given in the order you have signed up. If you sign-up for this series, you must able to commit to all four days of the series.

Location: Cary Street Gym: 101 S Linden St, Richmond, VA 23220
Dates: February 1st, February 15th, February 22nd, March 1st
Time: 7-8pm or 8-9pm
Parking: For information on the best parking options, follow this link: https://maps.vcu.edu/monroepark/carystgym/.
Fee: There is no fee to participate if you are a current VCU student or faculty member. All Sportable athletes must have a current membership. All other interested participants must become a Sportable athlete in order to sign up for this series.

For further information, please contact Alecia@sportable.org.

Adaptive Climber at VCU's Cary Street Gym
Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Current Sportable Athlete - yes or no *
Please provide information on your disability so that we can prepare the necessary adaptive equipment and coaching protocols for your session. (i.e. spinal cord injury; I use a wheelchair).
Your answer
Current Student or Faculty at VCU - yes or no *
Preferred Time Slot *
Age (If younger than 18 years old, a legal guardian must attend with you.) *
Your answer
Have you rock climbed previously? If yes, where and when?
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Please let us know if you have any questions about this climbing series.
Your answer
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