Fall 2017 Kids Climbing Classes
Email address *
Participant's Name ( Last name, First name) *
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Participants Age *
Address *
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Parent/Guardian Name *
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Phone Number *
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Emergency Contact (Name and Number) *
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What class do you want to register for? *
How did you hear about the climbing classes? *
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Does Regional Rock Walls have permission to video or photograph your child for advertisement purposes only? *
Is there any health concerns or other individual concerns we should know about the participant? *
Your answer
Terms and Conditions
-Tuition is due the first day of class. $70 for the 8-week
course. $55 for the 6-week course.

-Tuition for the club climbing class is due at the beginning of each month. $45/month

-Tuition will not be reimbursed if a participant misses a class.

-Each participant is required to fill out waiver form. This can be located on the website (regionalrockwalls.com) or waivers are available at the gym on the first day of class.

-Club climbers must have completed Intro 2 class or have instructor approval.

Do you agree to the terms and conditions? *
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