Application: Sport Lead Seminar 2019
Email address *
First Name *
Your answer
Last Name *
Your answer
Birth Date *
MM
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DD
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YYYY
Member Since (e.g. July, 1984) *
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Street Address (e.g. 14416 Mt Rainier Court, Apt A) *
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City *
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State (e.g. WA) *
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Zip *
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Cell Phone Number (e.g. 509-978-9410)
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Home Phone Number (e.g. 509-978-9410). This may be the same as your cell number. *
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Emergency Contact Name (First & Last) *
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Emergency Contact Relationship To You *
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Emergency Contact Phone Number (e.g. 509-978-9410) *
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I have participated in the following schools and seminars offered by the Spokane Mountaineers: *
Required
I am comfortable climbing up to 5.9 on top rope. *
For top rope climbing, I am comfortable tying into the rope, belaying, and building a top rope anchor. *
I have, or will have, the required gear for the seminar - harness, ATC, 3 pear or D-shaped locking carabiners, 2 Personal Anchor Systems (at least one of which is webbing or cord). *
I understand that this seminar will likely have a waiting list and, if accepted, am committed to attending Saturday/Sunday, October 5/6, from 9am to 5pm. *
Please write a couple of paragraphs, sharing your climbing experience and aspirations. *
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Include any notes, questions, or special considerations below.
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