WCC Junior Boulder & Top-Rope / Lead Competition 2023

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Registration Form - Saturday 2 December 2023 - Boulder - Bloc11 South (Retreat), from 07:30

Sunday 3 December 2023 - Top Rope / Lead - CityROCK - from 07:30

Email *

Competitor First Name *

Competitor Surname *

Competitor ID Number *

Competitor Date of Birth *

YYYY

Competitor Gender *

Male

Female

Competitor Height *

Competitor Province *

Western Cape

Eastern Cape

Gauteng

KwaZulu Natal

Mpumalanga

North West

Climbing Club you are a member of *

School attending

Boulder Competitor Category *

Lead Competitor Category *

Top Rope Competitor Category *

Are you a BLOC11 Member *

Yes

I belong to another Province

Are you a CityROCK Member *

Yes

I belong to another Province

WCC Membership Registration Link: https://goo.gl/forms/Eamfeo5xGOhAdTBh1 *

Yes

I do not want to get information from WCC in the future

Competitor Parents Email Address *

Competitor Parents Cellphone Number *

Competitor Allergies / Medical conditions / Medications *

Photograph and Video Wavier

Please note that by partaking in this competition you are giving Western Cape Climbing the right to photograph and/or film your child and use all material taken at the event for social media and growing the organization.

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