2006 Las Vegas Climb for Life Registration

Online registration is no longer available. Please register at the event.
Part 1 of 2: Must be filled in COMPLETELY
Prefix:
Evening Phone:
Day Phone:
Email:
Date of Birth:
  format: mm/dd/yyyy
Age:
Gender: Female Male
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State/Province:
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Country:
Other:
Postal Code:

T-Shirt Size: (Sizes not guaranteed)
Small Medium Large X-Large

Check the events you are registering for:
Climbing Clinics: Open to women, men and kids.

Saturday, February 25
9:30am - 11:30am
$60.00 - includes Climb for Life event & post party

Check One Option
Learn to Climb with former National Champion Tiffany Campbel & Rebeckah Berry
How to Reach the Next Level in Sport Climbing and Bouldering with Joe Kinder and Bryan O'Keefe
Ladies Only, Women's Specific Clinic, (all levels welcome) with Stephanie Forte and Alli Rainey.
Dynamic Movement with Lisa Hathaway

Price includes 2-hour lesson, gear rental and entry into the Climb for Life event and post party!
Climb for Life Event
Saturday, February 25
Noon - 4:30pm
$30.00 for event & post party
FREE when you register for a Climbing Clinic above

I have my own gear
I need gear

Select Skill Level:
Beginner (up to 5.9)
Intermediate (5.10 & 11-)
Advanced (5.11+ and up)
Climb for Life with Jackson Hole Mountain Guides
Sunday, February 26th
$60.00 for Sunday only

Discounted registration fee when combined with Saturday events:
Sunday plus Climb For Life Event = $80.00 (save $10)
Sunday plus Climb For Life and Climbing Clinic = $100.00 (save $20)

Select Skill Level:
First time climber
Beginner
Intermediate
Personal Fundraising
It's easy...raise a minimum of $250.00 for the HERA Foundation and be entered into the HUGE CLimb for Life raffle for a chance to win thousands of dollars in outdoor gear from Noth Face, Marmot, Black Diamond, CAMP, BlueWater Ropes, 5.10, Acopa, Sterling Ropes and more!

Go to www.climb4life.org and click on Las Vegas and download fundraising letters and helpful tools.

Prizes will be awarded to the top three fundraisers!

"Fundraising was much easier than I thought!"   - Joan Zuber, Climb for Life Salk Lake City Participant


Yes, I will be doing personal fundraising
Raise a minimum of $250.00 (that's 10 people sponsoring you for $25.00 each!) for HERA and you are automatically entered into our HUGE gear raffle! Win tents, sleeping bags, backpacks, and much more!

Please tell us how you heard about Climb for Life:

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Online registration is no longer available. Please register at the event.
Registration fees and forms due by February 10, 2006.
After 02/10/2005- register at the event:
Saturday & Sunday February 25 - 26, 2006
The Red Rock Climbing & Yoga Center
8201 W. Charleston Blvd. Las Vegas, NV