Thank you for your interest in our rock climbing courses! Please fill out this form to help us find the perfect course for you.
First Name
Last Name
Phone Number
Email Address
Date of Birth
Street Address
City/Suburb
State/Province
Postal/Zip Code
Have you ever rock climbed before?
Have you ever taken a climbing course before?
Are you comfortable with heights?
Yes
Somewhat
No
Do you have any physical limitations or health concerns we should be aware of?
Please select the course(s) you are interested in. You can select multiple options.
Beginner Courses
Introduction to Indoor Climbing: Learn basic climbing techniques, safety procedures, and equipment use in a controlled indoor environment. (Suitable for complete beginners)
Top Rope Climbing Course: Focuses on top rope climbing techniques, belaying, and safety protocols. (Requires some basic climbing experience or completion of Introduction to Indoor Climbing
Learn to Belay: A focused course on safe belaying techniques, essential for partner climbing. (Can be taken independently or as part of a Top Rope Climbing Course)
Intermediate Courses
Lead Climbing Course (Indoor): Learn the skills and techniques for lead climbing in an indoor setting, including clipping, rope management, and fall safety. (Requires Top Rope Climbing certification or equivalent experience)
Multi-Pitch Climbing Course (Indoor/Outdoor Options Available): Introduction to multi-pitch climbing techniques, rope management, anchor building, and rescue procedures. (Requires Lead Climbing certification or equivalent experience)
Sport Climbing Techniques: Develop advanced sport climbing skills, including efficient movement, route reading, and training techniques. (Requires Lead Climbing certification or equivalent experience)
Advanced Courses
Trad Climbing Course (Outdoor): Learn the fundamentals of traditional climbing, including gear placement, anchor building, and crack climbing techniques. (Requires Lead Climbing certification and experience)
Advanced Climbing Movement and Tactics: Refine your climbing movement, learn advanced tactics, and improve your overall climbing performance. (Requires significant climbing experience and proficiency)
Outdoor Climbing Trip/Expedition: Apply your skills in a real outdoor setting with guided climbs and instruction. (Requires appropriate prior experience depending on the trip)
Specialty Courses
Climbing Strength and Conditioning: A fitness-focused course designed to improve your climbing-specific strength and endurance.
Kids Climbing Program: (Please specify age range) Introduction to climbing for children, focusing on fun, safety, and basic skills.
Private Coaching: Personalized instruction tailored to your individual needs and goals.
What days of the week are you generally available for courses?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times of day are you generally available?
Mornings
Afternoons
Evenings
Are you flexible with your schedule?
What are your goals for taking this rock climbing course? (e.g., learn a new skill, improve fitness, enjoy a new activity)
What are your expectations for the course?
Are you comfortable with physical contact and sparring (if applicable to the chosen sport)?
Yes
No
Unsure
Are you aware of the potential risks associated with combat sports training?
Do you have any concerns or questions you would like us to address?
How did you hear about us?
Disclaimer:
Participation in combat sports involves inherent risks of injury. By submitting this form, you acknowledge that you understand these risks and are responsible for consulting with a medical professional before starting any new training program. This form does not constitute enrollment in any course. Your enrollment will be confirmed after a consultation with one of our instructors.
Thank you for completing this form. We will contact you shortly to discuss your options and answer any questions you may have.
Inquiry Template Insight
This rock climbing course inquiry form is designed to gather comprehensive information from potential students to ensure they are placed in the most appropriate and safe course. Here's a breakdown of its key aspects and the insights it provides:
1. Personal Information: This section collects basic contact details and age (important for age-restricted courses or programs like kids' classes).
Address might be used for logistical purposes or marketing (with consent).
2. Climbing Experience: This is crucial. It helps instructors gauge the student's current skill level. Questions about previous courses, experience with heights, and physical limitations are essential for safety and proper placement. Knowing if someone is a complete beginner versus having some experience drastically alters the recommended course. The health questions are vital for identifying potential risks and making necessary accommodations.
3. Course Interest: This section provides a clear menu of available courses, categorized by skill level (Beginner, Intermediate, Advanced) and type (e.g., specific skills like lead climbing, or specialty courses like strength and conditioning). Offering multiple choices allows students to explore different options and express their preferences. The inclusion of descriptions helps students understand what each course entails.
4. Course Availability: Understanding the student's schedule helps match them with available course times. Flexibility is also key, as some courses might have limited scheduling options.
5. Goals and Expectations: This section goes beyond logistics. It delves into the why behind the student's interest. Are they looking for a fun new hobby? Serious skill development? Fitness improvement? Understanding their goals allows instructors to tailor the course experience and meet their expectations.
6. Additional Comments/Questions: This open-ended section allows students to express any specific concerns, ask clarifying questions, or provide additional context that might not have been covered elsewhere.
7. Declaration: This is a standard waiver and acknowledgment of risk. It emphasizes the inherent dangers of rock climbing and reinforces the student's responsibility for their own safety. It's a crucial legal component.
Insights the form provides:
In short, this well-designed inquiry form acts as a filter, ensuring that students are placed in courses that match their skills, interests, and physical capabilities, while also protecting the climbing gym from potential liabilities. It's a crucial first step in building a positive and safe learning experience.