Street Address (e.g. 14416 Mt Rainier Court, Apt A) *
Your answer
City *
Your answer
State (e.g. WA) *
Your answer
Zip *
Your answer
Cell Phone Number (e.g. 509-978-9410)
Your answer
Home Phone Number (e.g. 509-978-9410). This may be the same as your cell number. *
Your answer
I have completed the Spokane Mountaineers Mountain School. *
If yes to above, what year did you complete Mountain School?
Your answer
I have completed the Spokane Mountaineers Trad/Lead School. *
If yes to above, what year did you complete Trad/Lead School?
Your answer
I have completed the Spokane Mountaineers Ice Climbing Seminar. *
If yes to above, what year did you complete the Ice Climbing Seminar?
Your answer
If you have a climbing partner or partners who are also applying (or you would like to encourage to apply), please list them.
Your answer
Please list members of the Spokane Mountaineers Climbing Committee or other members of the Spokane Mountaineers who have significant knowledge of your climbing experience and skills. *
Your answer
Include any notes, questions, or special considerations below.