Climbing team reservation from.

 Reservation Form

Please complete and submit the following to enroll a child in The Front climbing team program.

Parent/Guardian Information:

First Name:

*

Last Name:

*

Phone:

*

Relationship:

Street Address:

 *

Zip:

*  (we'll look up your city)

Email:

*
Alternative Emergency contact Information:

Emergency
Name:

Phone:

Relationship:

 
  ( * - required)

 Child(ern) Information:

In this section; enter the name, age, gender and t-shirt size for each child.  If you have multiple children to enroll, you must complete each row before moving to the next child. Enter each child's name only once.

    Name(s)  Age  Gender  T-Shirt Size
1)
2)
3)

 Session Information:

In this section; select which sessions each child will attend.  Sessions that do not meet a minimum enrollment may be canceled (with full refund). 

    Select Child Session
1)
2)
3)
4)

 
 Optional special instructions or medical information:

In this section, please provide any special requirements or conditions.
  


Summary of charges:

 
Liability Waiver
  Complete waiver now.  Everyone under 18 must have a liability waiver signed by a parent or legal guardian on file at The Front. This is not necessary if you already have a signed waiver on-file at The Front.
 
 
  How did you hear about us? Flyer
  The Front Website Friend
  Newspaper ad At The Front
  Sign on the building Postcard
         
 

Payment Instruction:

Please verify your email and phone number.  Then submit the registration.  Payments are through PayPal.  There is no cost to you and you do not need a PayPal account.


            

 

 

 

Info

- Ages 10 and up

- Session start Sept 4th

- Tuesdays and Thursdays;  4:30 PM – 6:30 PM

- Traveling Team is $425

- Comp Team is $375

- Registration closes October 14.  Prorated for missed sessions.
 

 

 

 

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www.frontslc.com

The Front Climbing Club

Salt Lake City, Utah, USA

Copyright 2005