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Program Registration Form
Intermediate Rec Spring 2025 - Tues
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Name
*
First
Last
Age
*
Allergies, Medical Concerns, or other Pertinent Information
Name
*
First
Last
Email
*
Does your child currently hold an annual membership at the CUBE?
*
No
Yes
Program
*
Intermediate Rec (11-13)
Day
*
Tuesday
Time
*
4:30pm - 5:30pm
Program
*
Intermediate Rec (11-13)
Day
*
Tuesday
Time
*
4:30pm - 5:30pm
Rental Equipment
Do you require rental equipment?
Both - $42.00
Harness Only - $21.00
Shoes Only - $50.00
*All participants are required to have a harness and climbing shoes to take part in a program.
Total
$0.00
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