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RESERVATION FORM

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1. To pay by credit card, fill out the reservation form and click REQUEST RESERVATION. A THANK YOU page will appear. To pay by credit card, click on the PAY NOW button that will pop up on the THANK YOU page (it may take a few moments to pop up on some browsers).

 
2. To pay with check or money order, fill out the form, then print out the form and mail to: Vertical Adventures, Inc. P.O. Box 7548, Newport Beach, CA 92658 Make checks payable to Vertical Adventures, Inc.
PLEASE COMPLETE:
First Name:
Last Name:
E-Mail:
Address:
City:
State:
  Zip Code:
Country:
Home Phone Number:
Work Phone Number:
Course #1:
Desired Date(s):
Course #2:
Desired Date(s):
In case of emergency, please notify (name/phone number):
Do you have any medical conditions?
Are you allergic to bee stings?
What is your level of fitness?
Height:
  		Weight:
  		Waist:
  		Age:
 
Do you wish to rent rock climbing shoes ($5 per day)?

If so, what is your shoe size?
Do you wish to rent a harness (no charge)?

If so, what is your waist size?
Previous rock climbing experience:
How did you hear about us?
 
Make Reservation and Pay by Credit Card

Electronic: just click this button >