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Name:
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E-mail address:
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Name of child:
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Date of birth:
Month
Month
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Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
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Day
Day
1
2
3
4
5
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Year
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Experience level:
Beginner
Recreational
Pre-competitive
Competitive - local
Competitive - national
Competitive - international
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Boulder onsight level:
V0-V1
V1-V2
V3-V4
V4-V5
V6-V7
V8-V9
V10/+
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Route onsight level:
5.9
5.10
5.11
5.12
5.13/+
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Desired training hours per week:
4
6
9
12