Booroomba Rocks Mini Fest!

Preliminary Information

Welcome to the CCA climbing community!

The CCA is delighted to support your climbing journey.
For this trip you must be a current member of CCA to Register for an activity/trip.
By filling in this CCA Trip/Activity Registration Form you are seeking to be included on the trip/activity. The Trip Leader will confirm you have a place on the Trip/Activity via email once you have submitted this registration form. You will be supplied with the Trip Leader’s contact details at this time.

The Trip Leader may contact you for more information. There is a section at the end of the form where you can ask specific questions. This form must be completed at least 3 days before the trip/activity. Be aware that numbers are always limited so early registration is recommended.

If you need to pull out please let the Trip Leader know ASAP so someone on a waiting list can be offered a place.

Your personal information will be used to ensure you are on the best activity for your skills and experience and also to maximise your care in the event of an emergency. Your information will only be available to Leaders on the activity and will otherwise be held securely.

All CCA leaders contribute to this trip/activity as volunteers.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.

Emergency Contact Relationship to you

Do you have any medical conditions the trip leader should know about to ensure your safety in case of accident or sickness?

YesNo

If Yes, please provide details or indicate that you would like to discuss in confidentiality with trip leader:

Do you give permission for photos/videos that include you to be used in CCA social media, meeting and trip reports?

YesNo

Please indicate your level of skill and climbing experience.

Starting Out - Indoor gym climber, competent top rope belayer with belay passStarting Out - Sport Climber, been to an outdoor crag at least twice recently climbed, belayed safely but never lead climbedIndependent Sport Climber - I safely lead sport climbs, clean anchors at outdoor crags and have experience on at least 3 different rock types with competent abseiling skillsExperienced Sport Climber - have experience in at least 5 different venues, can solve complex sport climbing problems and self rescue skillsStarting Out - Beginner Trad climber, been to an outdoor crag at least twice, climbed and belayed safely (top rope, trad & sport)Independent Trad climber- seconding. I have seconded at least 5 pitches of trad and competent in self rescue (abseiling & prussiking)Independent Trad climber-leading Single Pitch. I safely lead trad climbs, manage my climbing team., have experience on atleat 3 different rock types with vertical rescue skillsTrad climber leading - multi pitch. Have experience at 5 different venues and a variety rock types and complex vertical rescue skillsVolenteer Leader

Volunteer Type

CCA Assistant Activity Leader - I'm being supported to becoming an Approved CCA Activity LeaderCCA Activity Leader - Sport single pitch, sport multipitch, trad single, trad multipitch. I provide leadership to small group climbing teams (up to 3 others in the group)CCA Trip Leader First Aid Person

Please give details of your climbing experience.

Equipment I'm bringing (must be purpose designed for climbing, in a serviceable condition. Slings, Ropes, Helmuts must be less than 10 years old). Please list below.

I acknowledge, understand and have signed the CCA Waiver when I became a member of CCA, I accept all conditions outlined in the waiver.

YesNo

If you have any questions or feedback for the trip leader please ask them here and they will contact you via email: