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Application: High Angle Rescue 2021
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Email Address
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First Name
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Last Name
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Birth Date
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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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Primary Phone Number (e.g. 509-978-9410)
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Primary Phone Number Type
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Secondary Phone Number (e.g. 509-978-9410)
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Secondary Phone Number Type
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Emergency Contact Name
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Emergency Contact Relationship to You
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Emergency Contact Phone Number
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Are you comfortable sport-leading 5.7 (Not Required)?
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Do you have experience placing gear and building trad anchors (Required)?
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I am available all day Saturday and Sunday, October 2-3, 2021.
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Please describe your climbing experience and proficiency in some detail.
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Please list any members of the Spokane Mountaineers Climbing Community who have knowledge of your outdoor experience and skills.
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I understand that this seminar may have a waiting list and, if accepted, am committed to attending all scheduled sessions.
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