WASHINGTON ALPINE CLUB
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	CLIMBING CLASS CLASS APPLICATION View previously submitted application   CLIMBING CLASS APPLICATION FORM REQUIRED FIELDS ARE INDICATED IN RED AND BY A (*) WAC Membership Mark if you are currently a WAC member. If you are not a current WAC member, you will have to sign up for WAC membership simultaneously with applying for the course. Details will be given after you submit your application. Current WAC member?* No, help me fill out a membership application after I submit this class application. Yes, I'm a current WAC member. If you are a WAC member, indicate how long you have been a member. Years member New (< 1 yr.) 1 yr. 2 yrs. 3 yrs. 4 yrs. 5-9 yrs. 10+ yrs. Basic Information Please enter your contact information. It will only be used for the purposes of the class. Last Name* First Name* Sex* Female Male Email Home Phone* Work Phone Cell Phone Address* City* State* Zip* Emergency Contact Information Enter your emergency contact information. Contact Name* Contact Relationship* Contact Home Phone* Contact Work Phone* Contact Address* Membership Roster The WAC produces a membership roster that is distributed to Members Only. No information is given out the public or companies. Please indicate if you are willing to share your information with other members. Share Home Phone with membership? Share Work Phone with membership? Share Cell Phone with membership? Share Address with membership? Application Questions Please write more than one line answers to each question. The more you write, the better we can evaluate your application. Note: You are not limited by the size of the input boxes. The boxes will scroll to accommodate your input. Climbing Abilities Please select your current climbing ability from each choice below. Snow Travel 20-35 degrees 35-45 degrees 45-55 degrees 55+ degrees Rock Scrambling Class 3 Class 4 Low 5th mid-5th 5.11 in rain Alpine Climbing Grade I-II Grade III-VI Grade V Grade VI Leading Rock (sport) 5.10a-5.10d 5.11a-5.12d 5.13+ 5.6-5.9 Leading Rock (trad) 5.0-5.4 5.10a+ 5.5-5.7 5.8-5.9 (1) Explanation of Alpine Grade (NCCS system). Often found in conjunction with technical ratings, the alpine grade considers all the technical and objective difficulties of a mountain route, and distills them into an estimate of how long a competent party will take to complete the route. I: Several hours II: A half day III: Most of a day IV: A very long day V: A climb of one-and-a-half to two days, at least one bivouac required. VI: Two or more days, several bivouacs required. Climbing/Mountaineering Instruction* What previous formal training in mountaineering or other aspects of climbing have you had? These include Wilderness First Aid, leading rock/ice, self-rescue, etc. Please include the school, club, or guide service this training was done under. If you have been self-taught or learned under a friend, please state that. Your Goals In Taking The Class* Why do you want to take this class and what do you expect to get out of it? Medical Conditions* Have you had any medical conditions or former injuries (e.g. dislocations, fractures, tendonitis, etc.) that could affect the level of climbing you can conduct? Climbing Experience Please list a few climbs from your climbing resume to give us an idea of your experience. These climbs may be pure rock, pure ice, snow and ice or any combination of climbing types. List NO MORE THAN FOUR (4) CLIMBS. Format: Mountain/Crag,Route,Difficulty,Lead/Shared,Date
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