Participant Information
When would you like to pick this equipment up? *
You have to stop by during normal business hours, but once you have a receipt, you can pick up the equipment during operational hours of the Climbing Gym.
MM
/
DD
/
YYYY
Time
:
How many days would you like to rent the equipment? You will have the option to add additional days below. *
Please note, there is a minimum of 3 days. If you would like to rent 6, or more days, we recommend the 7 day package. If you plan to rent for more than 12 days, then please contact us first.
How many additional days would you like to add to your order? *
Please note, pickups on Thursdays are included in 3-day rental.
Are you a student, or UREC Pass Holder? *
This is used to help calculate your estimated charges. This will be double-checked before reservation is completed.
First Name *
Your answer
Last Name *
Your answer
Cell Phone Number *
Please format: 0001234567
Your answer
CID# *
Used to check eligibility.
Your answer
Email Address *
This is how we will contact you and confirm your registration.
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Classification *
Sex *
Residency *
Do you live...
Ethnicity *
Next
Never submit passwords through Google Forms.
This form was created inside of Angelo State University. Report Abuse - Terms of Service - Additional Terms