Clone of Intro to Rock Climbing 2025

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Participant Full Name* This field is required.
First Name
Last Name
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Participant E-mail* This field is required.
example@example.com
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Participant Phone Number* This field is required.
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What School Do You Attend?* This field is required.
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Select Your Grade* This field is required.
Please Select
Please Select
Freshman
Sophomore
Junior
Senior
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Parent/Guardian Name* This field is required.
First Name
Last Name
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Parent/Guardian Phone Number* This field is required.
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Parent/Guardian E-mail* This field is required.
example@example.com
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Do you need Gear?* This field is required.It's important that you have EVERY gear item on the packing list to stay safe, warm, and dry, and have tons of fun on the trip. If you have any questions contact the gear manager, Silas Collins, at gear@post84.org or 206-492-1671. If you need gear, fill out the Gear Request Form. Link to packing list here.
I have requested all the gear I need
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Please list any dietary restrictions we should know* This field is required.
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Rate your climbing experience level* This field is required.
Please Select
Please Select
New to Climbing! (first time ever)
Beginner Climber (been a few times before)
Regular Climber (been many times before)
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Rate your camping experience level* This field is required.
Please Select
Please Select
New to Camping! (first time ever)
Beginner Camper (been a few times before)
Regular Camper (been many times before)
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Please list your pronouns* This field is required.This information helps us track important data for program purposes only. If you prefer not to answer please write "N/A".
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Please describe your racial identity* This field is required.This information helps us track important data for program purposes only. If you prefer not to answer please write "N/A".
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What is your current involvement with POST 84?* This field is required.This information is in an effort to reduce the number of times people get waitlisted for trips and prioritize people who have never been on a POST trip. Please complete this information honestly.
Please Select
Please Select
This would be my first POST 84 trip
Attended 1-2 trips
Attended more than 2 trips
How many trips have you attended?
Please Select
Please Select
No - this is my first time signing up
No - I've gotten on all trips I signed up for
Yes, waitlisted once
Yes, waitlisted twice
Yes, waitlisted three or more times
Have you ever been waitlisted for a POST 84 trip?
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Did you sign up with any friends?* This field is required.This information will be used to create tent groups for the trip. List maximum 2-3 other people.
Huge
Large
Normal
Small
Ok
Ok
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Behavioral Contract* This field is required.Please read the full Behavioral Contract EXCERPT: POST Hard No's are as follows, if these acts are perpetrated the student will be removed from the trip : 1. Sexual intercourse 2. Drug use 3. Alcohol consumption 4. Physical violence of any form 5. Sexual harassment 6. Hate speech 7. Purposeful damaging of other people’s property (including damage from bodily excretions) 8. Stealing
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Intro to Rock Climbing* This field is required.*Payment does not guarantee admission on trip; a refund will be issued shortly after the trip if you are not selected to attend. We offer a sliding scale payment option ranging from providing full trip price + donation to a full scholarship option. Note that if signing up with a full scholarship, you will need to pay a $20 deposit that will get refunded after the trip if you attend. If you drop out within 3 days of the trip, this deposit will not get refunded.
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ORDER SUMMARY
Total costUSD
Select Payment amountChoose the amount you can pay for this trip
$FreeEdit
Back
Full Scholarship
Full Scholarship
I can pay 25%
I can pay 50%
I can pay 75%
Full Trip Price
Full Trip Price + Half a Scholarship
Full Trip Price + a Full Scholarship
*A $20 deposit is required for full scholarships
Total cost $0.00
First Name
Last Name
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Student Legal Name* This field is required.
First Name
Last Name
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Student Birth Date* This field is required.
Month
Day
Year
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Emergency Contact* This field is required.
First Name
Last Name
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Emergency Contact Phone Number* This field is required.
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Emergency Contact Email* This field is required.
example@example.com
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Any allergies? Check all that apply* This field is required.
Food
Medication
Environmental
Other
I have no allergies
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Please list and explain any allergies* This field is required.If none type "N/A"
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Significant Medical History (surgery, injuries, serious illness):* This field is required.If none type N/A
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List Any Medical Conditions (asthma, seizures, headaches, recent injuries):* This field is required.If none type N/A
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Is any medication required?* This field is required.
Yes
No
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List any medication taken regularly:* This field is required.If none type "N/A"
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If medication is necessary please provide administration instructions:* This field is required.If none type "N/A"
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Specify any reactions or symptoms to medication:* This field is required.If not applicable type "N/A"
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Additional medical information POST needs to know in regards to your childs health (physical or mental).* This field is required.If not applicable type N/A
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Name of Medical Insurance Company:* This field is required.
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Insurance Policy Number:* This field is required.
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Insurance Expiry Date:* This field is required.
Month
Day
Year
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Primary Care Physician's Name:* This field is required.
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Physician's Phone Number* This field is required.
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CONSENT AND LIABILITY
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I have read and agree to all terms & conditions listed below.* This field is required.As a parent or legal guardian of the previously-named participant, or for myself if I am over 18, I give permission for my child to attend and participate in the activities sponsored by POST. (If signing for myself as a legal adult, “child” in this document refers to me.) I acknowledge that this activity entails known and unanticipated risks that could result in physical or emotional injury, paralysis, or death to my child, as well as damage to property, or to third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activity. I assume the risk and financial responsibility for any injury, illness, or liability resulting from my child’s participation. I waive any claims against and agree to hold harmless and not sue, POST, POST staff, POST Executive Committee, POST chaperones, related parties, or other organizations associated with sponsoring the activity from any and all claims or liability arising out of my child’s participation. I have been made aware of the trip itinerary and give permission for my child or ward to ride in any vehicle designated by the staff of POST while attending or participating in activities sponsored by POST. I consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of my child while participating in activities sponsored by POST, to be used, distributed, or shown as POST sees fit. I certify that my child has no medical or physical conditions that could interfere with his/her safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition. In case of an emergency involving my child, I understand every effort will be made to contact me (or emergency contact provided). In the event I cannot be reached, I authorize a qualified physician/surgeon selected by the adult leader in charge to examine and in the event of injury or serious illness administer emergency care to the above named-participant which may include hospitalization, anesthesia, surgery, or injections of medication for my child. I understand every reasonable effort will be made to contact me to explain the nature of the incident prior to any involved treatment. In the event it becomes necessary for POST chaperones, EC, or staff to obtain emergency care for my student, I agree that neither POST nor any of its personnel assumes financial liability for expenses incurred because of the accident, injury, or illness.
I agree
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Print Name of Participant* This field is required.
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Signature of Participant* This field is required.
Clear
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Date of Signature* This field is required.
Date
Year
Month
Day
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Print Name of Parent/Guardian* This field is required.If over 18 and signing for yourself as a legal adult, you can write N/A
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Signature of Parent/Guardian* This field is required.If over 18 and signing for yourself as a legal adult, you can write N/A
Clear
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Date of Signature
Date
Year
Month
Day
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