Application: Sport Lead Seminar 2021

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Email *

First Name *

Last Name *

Birth Date *

YYYY

Member Since (e.g. July, 1984) *

Street Address (e.g. 14416 Mt Rainier Court, Apt A) *

City *

State (e.g. WA) *

Zip *

Cell Phone Number (e.g. 509-978-9410)

Home Phone Number (e.g. 509-978-9410). This may be the same as your cell number. *

Emergency Contact Name (First & Last) *

Emergency Contact Relationship To You *

Emergency Contact Phone Number (e.g. 509-978-9410) *

I have participated in the following schools and seminars offered by the Spokane Mountaineers: *

Backpack School

Mountain School

Rock School

Trad Lead School

High Angle Resue

Alpine Climbing Seminar

This is my first Spokane Mountaineers school/seminar.

Other:

Required

Please list members of Spokane Mountaineers leadership, directors of courses, instructors or other active members who have knowledge of your climbing. *

I am comfortable climbing up to 5.9 on top rope. *

Yes

For top rope climbing, I am comfortable tying into the rope, belaying, and building a top rope anchor. *

Yes

I have, or will have, the required gear for the seminar - Helmet, harness, rock shoes, chalk bag, ATC, 3 pear or D-shaped locking carabiners, 2 Personal Anchor Systems (at least one of which is webbing or cord). *

Yes

I understand that this seminar will likely have a waiting list and, if accepted, am committed to attending all four session of the seminar. (There will be a chance to explain no answers at the end of this application.) *

Yes

I can and am committed to attending the lecture session, Wednesday, July 14, 5:30 to 8pm. (Location, TBD) *

Yes

I can and am committed to attending the first outdoor session, Saturday, July 17, 9am to 5pm. (Location - Q'emiln Park, Post Falls, ID) *

Yes

I can and am committed to attending the indoor session, Wednesday, July 21, 5:30pm to 9pm. (Location - Wild Walls Climbing Gym) *

Yes

I can and am committed to attending the second outdoor session, Saturday, July 24, 9am to 5pm. (Location - Q'emiln Park, Post Falls, ID) *

Yes

Please write a couple of paragraphs, sharing your climbing experience and aspirations. *

Include any notes, questions, or special considerations below.

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