Joshua Tree Rock Climbing School - Make a Reservation, Rock Climbing school and instruction in Joshua Tree National Park

RESERVATION FORM

* Mandatory fields

Participants Name(s) or Group Name: Billing Address: City, State, Zip: ,
Country:
*Email Address:
Day Phone:	Cell Phone:
Evening Phone:

Date of Birth:	Sex: Male Female

Height:	Weight:

Waist Size:	Street Shoe Size:

Would you like us to provide climbing shoes and harness? Yes No

Emergency Information

Emergency Contact:

Relationship:

Emergency Phone:

Physical Condition

Do you have any medical condition(s) we should know about?

List any medication(s) you are presently taking:

Trip Requested

Class:
Requested Date:
Cost:
Cost and content are subject to change.

I have read and accepted the cancellation policy.

Credit Card Payments

Please charge my:

Visa
MasterCard

Name as appears on card:
Credit Card Number:	- - -
Expiration Date:
3 digit security code on back of card:
Total Charged:	100% of the trip cost(s) listed above.

Questions or Comments:

Climbing Experience:

Where did you hear about us:

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To Make a Reservation by phone please call: 1 (800) 890-4745

Joshua Tree Rock Climbing School
Joshua Tree
CA. 92252
Phone: 1(760) 366-4745
E-mail: climb@joshuatreerockclimbing.com