Climb Yukon Youth Team Registration

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Practice will begin on October 18th. The first practice will run until 6:00pm to give us enough time to get organized.

Youth Team registrants must be between 13 - 18 years of age.

The first two weeks will be no charge drop in. Payment of $250 will be due Nov 1st after the team is selected.

Please contact Gerard at gerardgarnier89@gmail.com if you have any questions, or if finances are a concern.

Email *

First and Last name of Youth/ Registrant
*

Gender
*

Female

Male

Non-binary

Prefer not to say

Age
*

School and Grade
*

Registrant's email:
*

Registrant's address:
*

NAME and Contact info of Guardian (s)

RELATIONSHIP (i.e. father, mother, grandparent)

PHONE + EMAIL required, thanks!

Emergency Contact info if different from Guardian (s):

NAME, RELATIONSHIP, PHONE

Brief description of your/ registrant's climbing experience:
*

Are you able to participate in practices twice a week - Tuesday and Thursday from 4:00 - 5:30pm?
*

Yes

Are you interested in attending competitions on Fridays or weekends? *

Yes

Send me a copy of my responses.

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