Name *

First Name

Last Name

I am committed to being a 'lead climber' for the 46ers high peaks trek. *

This means identifying two co-climbers to summit your mountain with, and agreeing to the 'lead climber' contract.

YES

NO

I have read through the 'lead climber contract'. *

The 'lead climber contract' can be found in the climbers' guide on this page.

YES

NO

Co-Climber 1: Name *

First and last name of Co-Climber 1.

First Name

Last Name

Co-Climber 2: Name *

First and last name of Co-Climber 2.

First Name

Last Name

Mobile

Certain international numbers will not work with the default spacing below. If this is the case for yours, please add your mobile number (including country code) in the 'notes' section below. Thank you.

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