This file is also available in Microsoft Excel format. Please fax to (360) 569-2982

2009 DENALI REGISTRATION FORM
(Please print legibly or type)
Name:  
Office Use Only
Climb Date
Confirmed
Deposit
Balance
Success
Other
 
Mailing Address:
Town, State, Zip:
Home Phone:
Work Phone:
Email Address:
Gender:       Age:          Occupation:
First Choice of Expedition Date:
Deposit of Money:              Please circle: CHECK or VISA/MC
                          Credit Card #:
            Expiration Date:      3-Digit Security Code:
Please list in detail all previous mountaineering training (crevasse rescue, cramponing, snow anchors, belaying, self arrest, roped glacier travel, etc.), successful & attempted previous climbs (snow/ice/rock), winter camping experience, rescue and/or first aid training, and current and proposed physical conditioning programs.  Use a separate sheet if necessary.
 
 
 
 
 
 
 
 
 
 
Submit this form, your check or money order deposit to RMI, Post Office Box Q, Ashford, WA 98304. Trips fill quickly. Applications should be received as soon as possible to guarantee placement on a specific date.

                      This file is also available in Microsoft Excel format.