Rock Wall

Registration Form

The Rock Wall is an exciting new feature at our YMCA. We are now offering clinics to teach the skills associated with rock climbing. With safety in mind we have a staff of trained belayers and instructors to help motivated individuals reach their goals. Whether it’s your first attempt or you’re trying to master the many facets of the walls, there is something for everyone.

Try to Climb the Wall!

Parent/Guardian name ______Y member? Y / N

Address: ______City: ______Zip: ______

Daytime Phone: ______Other Phone: ______

Climbers Name: ______Date of Birth: ______

Age of Climber: ____

Registration information:

Formation: Minimum of 3 students required for clinics to start.

Schedule: Clinics meet once a month as designated. “Open Wall” times are every Sunday.

Climbing: Students will follow the directions of the wall staff. The amount of climbs per person varies. Staff reserves the right to not allow individuals to belay or climb. Follow safety and etiquette rules.

Cancellations: Missed clinics will not be made up. If weather forces cancellation, the clinics will be made up the following week.

Descriptions:

BELAYERS CLINIC:(Ages 13+)

Learn the fundamentals of rope knots and anchors for climbing. Additionally learn the commands and safety of belaying a climber. Once you have shown your skills, you can receive a belayer’s card which allows you to belay others and climb during the “Open Wall” times for free.

CLIMBERS CLINIC: (Ages 10+)

Learn the fundamental climbing techniques and commands. Learn how to get harnessed, clipped in, and climbing pointers. No previous experience required. Once you have taken this clinic members can come back during the “Open Wall” times and climb for free; Nonmembers will still have a $5 fee.

OPEN WALL: (Ages 7+)

Previous experience in the clinics is preferred but not required. The basics of climbing are reviewed. Come have fun and try out your skills.

“RESERVE THE ROCK”:(Ages 7+)

Individuals and Groups can reserve the rock for special occasions or private instruction. See Aquatics Director for group and private rates and scheduling.

SEE BACK FOR WAIVER/CONSENT

VI:June 5

VII: July 10

VIII: August 14

(Circle the Session you wish to take)

Belayers Clinic ____

1:00 – 2:45 pm

$30 Members

$40 Non-Members

Climbers Clinic____

2:45 – 3:45 pm

$15 Members

$25 Non-Members

Open Wall____

3:45 – 4:45 pm

$5 Members

$15 Non-Members

Reserve____

Date and Time Desired:

___/___/______:___

$ See Aquatics Director

Amt owed ______

Amt paid ______

Cash Check CC

Note Registration and full payment are required at least three days before clinics begin. A $5 handling fee is charged on allrefunds.