Frome Boulder Rooms Registration

Personal Details

Title

Gender *

First Name *

Surname *

Date of Birth *

Access Requirements

Postcode

Country

Full Address

Daytime Telephone

Evening Telephone

Emergency Contact Name

Emergency Contact Number

Other Walls Membership

Climbing Frequency

Please sign below to complete your registration *

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By signing this document, you acknowledge that you have read, understood, and agree to all terms and conditions.