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Full Name

Gender

FemaleMale

Age

Cell Number

Email

Do you have a first aid certificate?

YesNo

If Yes, what level certification do you have?

Which informal training course would you like to attend? Choose a value Adult Beginner Climber Course Adult Introduction to Leading Course Introduction to Trad Climbing Alpine Climbing Beginner Course Parents/Coach Introduction to Climbing Course

Which formal training course would you like to attend? Choose a value NQF Rock Climbing Guide NQF Abseil Guide NQF Single Pitch Climbing and Abseil Guide NQF Mountain Walking Guide - limited scope

What experience do you have?

None
Indoor Climbing Gym
Mountain walking
Sport Rock Climbing
Trad Rock Climbing
Abseiling

Extra Info

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