Rock Gym Climbing Lesson/Class Request Form

Rock Climbing Class Registration Form

Registration is CLOSED for Spring 2026 Classes! The 5-week session begins on January 26th and ends on February 23rd. The 12-week session begins on January 28th and ends on April 22nd. Please wait for a ROSTER CONFIRMATION EMAIL from Christian Kim to know that your child is confirmed in your requested class. We are looking forward to having your kids in class for the first time or returning again!
Full Name (Parent name if registering child under 18)*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Lesson

Private LessonClass
How many participants are you registering today? *
Please enter full legal name(s) and age(s) of participant(s):
Full Name of Participant #1*

First NameLast Name
Age of Participant #1*
Birthday of Participant #1*

MonthDayYear
Date
Full Name of Participant #2

First NameLast Name
Age of Participant #2
Birthday of Participant #2

MonthDayYear
Date
Additional Participants' Name(s) and Age(s): If you are registering more than 6 participants, please enter additional full names and ages (example: Jane Smith (13))
Please describe the climbing experience (if any) of the participant(s)?
What goals do you or the climber have for this experience?
Please select which days/times you are requesting. Select all that you are available for. 6 Spaces available per class. Once the 6 first sign ups have been confirmed, class will be marked FULL!*

Monday 3:15-4:30pm (Ages 5-8 / 5 week session / Intro to Climbing)Monday 4:45-6:00pm (Ages 9-12 / 5 week session / (Intro to Climbing)Tuesday 4:45-6:00pm (Ages 9-12 / 5 week session / (Intermediate to Climbing)Wednesday 3:15-4:30pm (Ages 5-8 / 12 week session / Intermediate Climbing)Wednesday 4:45-6:00pm (Ages 9-12 / 12 week session / Intermediate Climbing)Thursday 3:15-4:30pm (Ages 5-8 / 5 week session / Intro to Climbing)Thursday 4:45-6:00pm (Ages 9-12 / 5 week session / (Intro to Climbing)Friday 3:15-4:30pm (Ages 5-8 / 5 week session / (Intermediate Climbing)Friday 4:45-6:00pm (Ages 9-12 / 5 week session / Intermediate Climbing)Saturday 10:30-11:45am (Ages 5-8 / 5 week session / Intro to Climbing)Private Lesson
How did you hear about our program?
Would you like to request financial aid?

YesNo
Session (Hidden)
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Rock Climbing Class Registration Form

Please enter full legal name(s) and age(s) of participant(s):