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Rock Seconding School

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Application

Rock Seconding School Registration

Name___________________________________________
Address_________________________________________
City____________________________________State_____
Zip_____________ CMC Member #___________________
Phone (evening)_______________ (day)_______________
Email:___________________________________________
Birthdate: ____________ BRCS Graduate: q Yes q No
Equivalent Experience: q Yes
Payment Method: q Check q VISA q MasterCard
Card # ________________________________________
Exp. Date____/____/____
Signature ______________________________________
Registration: fax (303-279-9690),
phone (303-279-3080, ext. 2), or in person.

Send inquiries to director Bob Perry and Debbie Malone at

Important Disclaimer: Climbing is inherently dangerous and should be performed only with the proper instruction and supervision of an experienced climber.
The author and publisher of this web page assume no responsibility for any injuries incurred by the reader.