Rock Spot Climbing - Indoor Climbing for Beginners, Experts, and everyone in between. Youth Program Registration

Youth Team Registration Form

100 Higginson Ave., Lincoln, RI 02865 • 401.727.1704 • questionslincoln@rockspotclimbing.com
67 Sprague St., Boston, MA 02136 • 617.333.4433 • questionsboston@rockspotclimbing.com

If you have question, please contact Kris at 401.727.1704

Child's Name:

Age

Birthday:

Parent or Guardian Name:

Mom's Home Phone Number:

Mom's Cell Phone Number:

Dad's Home Phone Number

Dad's Cell Phone Number

Emergency Contact Name

Relationship

Emergency Contact Phone #

I wish to register my child for:

Electronic Signature

Please check this box to verify that you have read the description of the teams and certify that the above information is correct and accurate.

Message / Additional Request or Questions