Registration

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In order to register, you must be at least 13 years old (under 18 needs parent permission)
and weigh between 100-300 pounds.

Please fill out the below information to become a rappeller!

* Legal First Name

* Legal Last Name

* Preferred Name

* Birthdate

* Gender

* Address

Address #2

* City

* State

* Zip

* Country

* Home phone

* Cell phone

If you would like to be a part of a team, please choose from the following selection

Teen

Regular

Please upload a photo which will be added to your personalized rappelling page on the website. It is recommended that you use a square sized image.

Upload Image

Bio

How did you hear about us?

Please Specify

* Username

* Email address

* Confirm email

* Password

* Confirm password

* Choose Your Fundraising Goal

$1,000

Other

*T-shirt size