[The B.I.G. Initiative] Interest Form for Intro To Multi-Pitch Systems with Ren Lavergne
Thank you for your interest in the 2SLGBTQ+ Intro to Multipitch Systems Course with Ren Lavergne on July 22, 2023.

***PLEASE READ THE BELOW DETAILS CAREFULLY***

Registration is limited. We will be prioritizing registration from individuals who hold additional intersections of identity/face marginalization that influence access to climbing.

Within a few days of the form closing, we will contact all those who have registered their interest to participate in this course. As there are limited spots, filling out this form does not guarantee a spot.

Those who are chosen will receive a payment link, participant registration form and waiver form to confirm your spot in the course.

The event will run, “rain or shine”.

For any additional questions, please contact elaiza@thebiginitiative.ca
Preferred name *
Pronouns
Email address *
Phone number *
Preferred method of contact
Do you identify as a member of the 2SLGBTQ+ community?
 *
Do you identify as BIPOC?
Do you have any intersecting marginalized identities?
Do you have accessibility needs? If yes, please specify.
Please describe your climbing experience *
Personal gear (each climber will need a helmet, harness, climbing shoes and belay device)

(Note: Group gear, such as ropes, quickdraws and anchor kits can be provided.)
 *
Collection Notice: 
The personal information is collected under the authority of the Alberta Personal Information Protection Act (PIPA) and will be protected under that Act. Your personal information is collected for the purposes of professional guiding and instruction for rock climbing services. If you have any questions about the collection of your personal information, please contact Renee Lavergne at climbingren@gmail.com.
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