Summer Program Registration Form

To register, please complete all three steps below:

1. Download, print and fill out this form.
2. Mail the completed form and deposit check of $100 to …

International Rock Climbing School, Inc.
28 Rand Cir.
Danvers, MA 01923

… by May 1st to reserve your spot.

Please make the check payable to International Rock Climbing School

3. Fill out the form below

Child's Name (required)

Child's Age (required)

Child's Date of Birth Name in MM/DD/YYYY Format (required)

Parent's Name (required)

Contact Phone Number (required)

Contact Email (required)

Address (required)


Preferred Weeks (required)

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