Region 81 Appeals Form
This form is to submit a request for an appeal. You will need to provide evidence of payment of $100 Appeal fee prior to appeal being reviewed. The fee may be paid in cash or through Sport80. If paying through Sport80, please email a copy of the confirmation to region81@usaclimbing.org

Sport80 Payment Instructions: https://bit.ly/2SPrY6S
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Email *
Name of Competitor *
Bib # *
Member # *
Contact Phone *
Youth Category *
Name of Certified Coach (if applicable)
Climb Number *
Description of incident and reason for appeal *
A copy of your responses will be emailed to the address you provided.
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