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2022 Western Chapter ISA Tree Climbing Championship- Competitor Registration Form
June 18 -19, 2022
Balboa Park
6th Ave and Laurel Street
San Diego, CA 92101
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Competitor Name:
Your answer
Employer:
Your answer
Address:
Your answer
City:
Your answer
Sate:
Your answer
Zip Code:
Your answer
Phone:
Your answer
Email:
Your answer
1. Member of WESTERN CHAPTER ISA?
Yes
No
Clear selection
2. Do you currently hold an ISA credential?
Yes
No
Clear selection
3. Have you competed at the WESTERN CHAPTER ISA event before?
Yes
No
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3a. If yes, how many times have you competed?
Your answer
4. All participants will receive an event shirt. Please provide your shirt size:
XS
S
M
L
XL
2XL
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5. Emergency Contact: Please provide an emergency contact name phone number for WESTERN CHAPTER ISA staff to use in an emergency. WESTERN CHAPTER ISA staff may provide your emergency contact name and phone number to emergency personnel in the event of a medical emergency.
Your answer
5a. Emergency Contact Name:
Your answer
5b. Emergency Contact Phone No.:
Your answer
6. Dietary Considerations: WESTERN CHAPTER ISA may provide dietary considerations to staff, event volunteers, and contracted individuals for catering menu consideration. Please select from the following dietary considerations:
NONE
Vegetarian
Vegan
Gluten Free
Dairy/Casein-Free
Food Allergy/Intolerance
Other
6a. If you selected "Food Allergy/Intolerance" or "Other", please list:
Your answer
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