Poughkeepsie Adaptive Climbing Registration Form
Adaptive Climbing Group is hosting an adaptive session Gravity Vault Poughkeepsie climbing facility. The cost is $12, including climbing shoe and harness rental thanks to our hosts. Please fill in your details in the Event Registration Form below and you will be automatically registered.
Email address *
Date of Desired Session *
Sessions are from 6:30-9:00 pm
First Name *
Your answer
Last Name *
Your answer
Date of Birth
Phone Number *
Your answer
You will be joining us as... *
Photo Release
Photographs or video may be taken during sessions of an ACG event and used for ACG-Adaptive Climbing Group use at any time in any way that ACG sees fit including, but not limited to promotional (social media, print marketing materials, newsletter) or instructional use. ACG has permission to alter images with (but not limited to) text and hashtags.

An effort will be taken by ACG to communicate with subjects of photos before publication but is not mandatory.

A climber may revoke consent at any time regarding future publications but it is up to the climber to make this known to ACG and the communication lead. A written statement must be sent in the form of an email to ACGny@bkbf.org.

This agreement does not apply outside of sessions or an official ACG event.

By submitting this form, I acknowledge consent to the above statement and that I am either of legal age or that I am a parent/guardian authorizing consent.

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