Note: Please fill out the climbing experience survey at the bottom and all participants must read and understand the waiver. 

Name *
Birth Date *
Birth Date
Phone *
(course or private guide)
Choose day or date range.
Dates From *
Dates From
Dates To *
Dates To
Choose the total number of participants (including yourself).
Describe the guided route or private guide request (if applicable).
Examples (bee stings, nuts, medications)
Examples (Diabetes, Asthma, Arthritis, Atrial Fibrillation, etc.)
Examples (ASA 81mg, Metoprolol, Ramipril, Insulin, etc)
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number
Waiver *
Before any guided activity the waiver must be read and understood completely. Your guide will bring a waiver to witness you signing at the first meeting.


Name *
Climbing Level *
Please choose your climbing level.
How long have you climbed? *
Tell us how how long you have been climbing for. Use the notes to describe any gaps please.
Climbing Difficulty *
Tell us the hardest grade for a route you have topped out in the last 2 years?
Location *
Tell us where you have climbed? (check all that apply)
Equipment *
What equipment do you own? (check all that apply) This is NOT required but allows your guide to plan accordingly.
Do you drive a car?
Type of Climbing *
What type(s) of climbing do you want to do with your guide?
Are you interested in taking future courses?