2005 Yo! Basecamp Rock Climbing Registration

(Please print, complete and send along with a check for $100 deposit or full amount made payable to:

Yo! Basecamp and mail to: YB, 130 McCornick St #7, Santa Cruz, Ca 95062)

Name: ________________________________________Phone_____________________________

Address:____________________________City/Zip: ______________________________

E-mail Address or other contact information: _____________________________________________

Age: ______ DOB:________ Gender: ________

Climbing Experience:__________________________________________________

Camp and Dates (Please list first and second choices):___________________________________________________ 

Remember to print this form and mail it to:

Yo! Basecamp
130 McCornick St #7
Santa Cruz, CA 95062
Questions? Please call 831.673.5918 for more information.

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