Rock Climbing Inquiry Form


Thank you for your interest in our rock climbing courses! To ensure we can provide you with the best possible experience and match you with the most suitable program, please complete the following inquiry form.


Personal Information


First Name

Last Name


Date of Birth

Email


Phone Number



Street Address


City/Suburb

State/Province


Postal/Zip Code



Emergency Contact Name


Emergency Contact Phone Number


Climbing Experience


Have you ever rock climbed before?


If yes, please describe your experience level.


Have you climbed indoors or outdoors?


Approximately how many times have you climbed?


What type of climbing are you most interested in learning?


Are you comfortable with heights?


Have you ever experienced a fear of heights or vertigo?


Do you have any prior injuries or medical conditions that might affect your ability to participate in rock climbing?


If yes, please describe them in detail (This information will be kept confidential and used only to ensure your safety and well-being)


Course Preferences


What type of climbing are you most interested in learning?


What is your preferred course format?


Are you interested in indoor or outdoor climbing courses?


What are your preferred days for a course?


What are your preferred times for a course?


First Choice

Second Choice

Third Choice


What are your goals for taking this course? (e.g., learn basic skills, improve technique, climb harder grades, enjoy the outdoors.)

Are you interested in certification courses?

Do you have any specific skills you would like to learn or improve?


What are your goals for taking this course? (e.g., learn basic skills, improve technique, climb harder grades, enjoy the outdoors.)


Physical Fitness & Activity Level


What are your preferred days for a course?


Do you regularly participate in any other sports or physical activities?


If yes, please list them.


Are you comfortable with moderate physical exertion?


Other Information


Is there anything else you would like us to know about your climbing experience, goals, or any other relevant information?


How did you hear about our rock climbing courses?


Agreement


  • I understand that rock climbing is an inherently risky activity, and I am responsible for my own safety.
  • I will follow the instructions of the instructors and adhere to all safety guidelines.
  • I confirm that the information provided in this form is accurate and complete to the best of my knowledge.

Participant Signature



We will review your inquiry and contact you shortly to discuss your options and answer any questions you may have. We look forward to climbing with you!


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