Mt Rainier Climber Experience Questionnaire

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Mount Rainier is an incredible climbing experience by any route, and we're excited to share the climb with you.

Before we set our team for the Emmons Glacier Skills Expedition, we want to make sure everyone on the team has the requisite experience and fitness to reach the summit. This is a skills building expedition, so we don't expect everyone to know the material beforehand, but some light mountaineering experience is helpful.

We would love to climb with you on Mount Rainier. Given our extremely limited number of spots for this expedition, we want to make sure we have a high likelihood of success. This will make the program more productive and engaging for our team on the mountain.

Please understand that we will have many applicants that meet our requirements for fitness and experience, and we are sorry that we are limited in the number of climbers we are allotted by Mount Rainier National Park.

Thank you for understanding!

Email *

Your Name (First Name Last Name) *

Your email address *

Phone Number *

Please describe your previous mountaineering experience *

What are your goals for this course (what are you looking to get out of this program in terms of skills)? *

What is the highest altitude you've hiked or climbed? *

8,000'

9,000'

10,000'

11,000'

12,000'

13,000'

14,000'

15,000'

16,000' or over

Other:

Are you interested in this program to prepare for another climb? *

If you are preparing for another climb, what is it? *

Are you interested in other climbs with Blackbird Mountain Guides? *

Not interested in other programs - just Rainier for me!

Mount Shasta (14,179' California)

Mount Baker - North Ridge (10,781', Technical Ice climbing, 3 day)

Mount Baker - Coleman Deming (10,781', Mountaineering 3 Day)

Mount Baker - Easton Glacier (10,781', Mountaineering 3 Day)

Mount Shuksan - Fisher Chimneys (9,131', 4th class rock, steep snow, FUN, 3 day)

Mount Shuksan - North Face (9,131', 4th class rock, very steep snow, glacier, 3 day)

Eastern Sierra Climbing (13-14k'', Technical Rock, Temple Crag / Mt Sill, etc)

Forbidden Peak - (West Ridge 50 Classic Climbs)

Peru Cordillera Blanca Expedition (high altitude technical climbing or mountaineering)

International Alpine Climbing in General (Mexico Volcanoes, Bolivia, Andes, Mt Blanc, Etc)

Other:

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Blackbird Mountain Guides. Report Abuse

Forms