Summer Program 2026 Registration Form – International Rock Climbing School

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. and send it to

Aleksey Shuruyev
1405 Basswood Circle
North Andover, MA 01845

… to reserve your spot.

Please make the check payable to International Rock Climbing School.

The remainder of the payment for Camp 2026 must be submitted by check by June 1st, 2026.

3. Fill out the form below

Child Name *

First

Last

Child Birth Date *//

Parent Name *

First

Last

Contact Phone Number *

Contact Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Prior Experience

Week *

Week 1: June 28 - July 4, 2026
Week 2: July 5 - July 11, 2026
Week 5: July 26 - August 1, 2026

Note: Weeks 3 and 4 are full and no longer accepting registrations.

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