Event Registration

Event Registration Form

Competitor Info (all fields required):

First Name:

Category: Youth D (Born in 2001 & or later)
Youth C (Born in 1999 & 2000)
Youth B (Born in 1997 & 1998)
Youth A (Born in 1995 & 1996)
Youth Junior (Born in 1993 & 1994)
Adult Beginner (5.9, V1)
Adult Intermediate (5.10, men V5, women V3)
Adult Open (5.12, men V6+, women V4+)
Adult Masters (40+)

Last Name:

Address:

City/Town:

State/Province:

Zip/Postal Code:

Country:

Phone:

Email:

T-shirt size:

Adult S
Adult M
Adult L
Adult XL

Youth S
Youth M
Youth L

Birth Date:

Gender:

Male Female

Spire Climbing Center member?

Yes No

Other Info (optional):

ABS Member #:

USAC Member #:

Event Selection:		Date:	Price:	Status:
	Full Gravity Day 11 - Youth ABS Member (Heat 1)	05 November 2011	$40.00	Closed
	Full Gravity Day 11 - Youth Non-ABS Member (Heat 1)	05 November 2011	$45.00	Closed
	Full Gravity Day 11 - Adult (Heat 2)	05 November 2011	$40.00	Closed

Summary of Charges:

Participation Requirements:
	I understand Spire Climbing Center requires a signed liability waiver prior to participation in all events. Waivers expire one year from date of signiture. If the climber is under 18 years old, the waiver must be signed by a parent or legal guardian.