Private Coaching Booking Form
If you are new to the sport or looking for a refresher on basics, please check out our Intro Class series.
If you are looking for a private belay session (limited instruction, but staff will be with you the whole time), check out our "Book a Belayer" option.

Please fill out as thoroughly as possible, so we can connect you with the best instructor!

Cost may vary depending on topic and instructor. Basic sessions are $65/hour for up to 2 people, plus $32.50 for any additional participants. Session cost does include rentals, but does not include a day pass if staying at the gym after the session. 
Sign in to Google to save your progress. Learn more
Email *
Primary Participant Name and Birthday *
How many climbers are participating? 

For any lead climbing lessons, we require minimum 2 participants
*
What are you hoping to cover in this session? Please be as detailed as possible. Include current climbing level, any future goals, any limitations (ie injuries), and any other information you feel like we should know prior to the session *
Please list preferred days of the week and times. 

We try to schedule sessions at least 2 weeks in advance; we cannot guarantee that we can schedule any sessions requested less than 2 weeks in advance.

It is very challenging to schedule sessions between 4pm and 8pm M-Th. This is when the bulk of our instructors are coaching or instructing classes. 
*
Do you have an instructor in mind? 

You can also request a certain type of instructor (woman, works with youth, versed in off-wall fitness, etc). We cannot guarantee an instructor to fit your request, but we will do our best. 
Which gym do you prefer? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Portland Rock Gym.

Does this form look suspicious? Report