Pacific Pipe Youth Programs Form

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Please fill out this form in its entirety to join the waitlist for our Climbing Club Team or our Competitive Team programs. If you're interested in our Climbing Camp Programs, please join our mailing list. Thank you!

Which program are you interested in? *If interested in Climbing Camps, please add your contact info to the mailing list above. *

Climbing Clubs (Recreational Climbing Program)

Team Touchstone (Competitive Climbing Program)

必填

How old is your climber? *

What is the climbing experience level of your child? *Must have some experience with climbing if interested in Climbing Clubs or Team Touchstone *

Never climbed

Been a couple times

Been climbing less than a year

Been climbing between 1 - 2 years

Been climbing for several years

Climbing Clubs require experience with top rope belaying. Does your child have experience with belaying? *Must have some experience with belaying if interested in Climbing Clubs or Team Touchstone *

Has a belay card from Touchstone

Some experience with belaying

Never belayed

Only boulders

Has your child participated in a Touchstone climbing camp program? *

Yes

Any additional information we should know about your child?

Parent's name: *

Climber's name: *

Contact email: *

Contact phone number:

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