Contact Information Your Name (required) Your Email (required) Telephone (required) Subject Address (required) City (required) State: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip (required) How will you be getting to New Paltz? Personal vehicleBus Climbing Information Please choose the trip in which you are interested.* Rock ClimbingIce ClimbingCanyoningOther Trips / Multiple Trips Please specify the trip length in which you are interested Full Day TripHalf Day TripMulti-Day Trip What professional guide course do you require? AMGA SPI CourseAMGA SPI ExamAMGA CWI CourseI do not require a professional guide course In brief, describe you and/or your party's previous climbing experience. We will be sure to clarify and confirm this information with you prior to your trip. None or Very Limited ExperienceGym ClimbingOutdoor ClimbingTop Rope Belay ExperienceRappelling ExperienceLead Belay ExperienceMulti-Pitch Experience Experience detail: Have you climbed with us before? YesNo If yes, with which guide? If you do not remember, just leave the box blank. How did you hear about Mountain Skills Climbing Guides?* ReferralInternet SearchClimbing GymOther Please let us know if you have any concerns or questions you would like us to address. We will give you a call or email to clarify and address your comments once we receive your form. Reservation and Cancellation Information All dates are subject to availability; please provide alternate dates in case the original dates you requested are not available. Once we receive your form, we will send an email or call you to confirm your desired date of reservation or schedule you for one of your alternate dates if we have no initial availability. Date for Potential Reservation (Month/Day/Year)*: Alternate Date(s): How many people will be in your party? Are you a climbing member of the Mohonk Preserve for rock climbing? YesNo Current climbing members receive a $15 discount for days we climb on the Mohonk Preserve. You are required to bring your membership card with you on the day we climb, otherwise regular fees will be charged as part of your payment. We require a deposit/payment for your reservation finalization which can be made by selecting a activity in Shop and paying in Cart. You may also use Visa, Mastercard, Discover, personal check or cash to pay for the remainder of your climbing reservation. You may also call 845-853-5450 with your 16 digit credit card number and 4 digit expiration date to finalize your reservation. Please be sure to print and fill out your waivers (forms below) prior to arrival. If you are unable to do so, please let us know! • Participant Registration Form • Acknowledgement of Risk Form • Consent to Treatment and Model Release Form *I have read and understood the Cancellation Policy and agree to its terms. I understand that a cancellation three or less days prior to my trip, or not showing up as scheduled on the day of my trip, will cause me to be charged in FULL for the cost of the excursion. Groups of 5 or more will forfeit their deposit in the event of a cancellation less than eight days prior to their scheduled trip.