Rock Gym Climbing Lesson/Class Request Form

Rock Climbing Class Registration Form

Registration is CLOSED for Spring 2026 Session 2 Classes! The 5-week session begins on March 16th and ends on April 24th. 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
Format: (000) 000-0000.
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Type of Lesson
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!
How did you hear about our program?
Would you like to request financial aid?
Session (Hidden)
Should be Empty:

Rock Climbing Class Registration Form

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