TayloredFit Solutions is looking forward to climbing with you! We need to gather some important information before the clinic! Please take time to complete this registration form. A confirmation letter will be sent to you w/in 24 business hours! Thank you for registering for the Source Climbing Clinics!

Professional Training Interest Form

Select Clinic Attendance *

Friday Clinic: Improving Technique

Sunday Clinic: Developing Core & Stamina

Both Clinics

Participant Information

Name *

First Name

Last Name

Preferred Name

First Name

Last Name

Gender Pronoun *

she/her

he/him

they/them

other

Date of Birth *

YYYY

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home / Work

(###)

###

####

Cell Phone *

(###)

###

####

Email Address *

Climbing Experience

Please complete as much information and in detail where applicable.

Climbing Preference *

Select your primary climbing interest.

Rope (Top Rope, Lead, Sport)

Climbing (Trad, Multi-Pitch, Big Wall)

Boulder Climbing (Training, Competition Circuit)

Bouldering (Projecting)

On-sight Level (Bouldering) *

Select your highest completed on-sight boulder grade on one attempt.

v3 - v4

v5 - v7

v8+

On-sight Level (Rope) *

5.10 - 5.11

5.12 - 5.13

5.14+

Option Two

Adaptive Category

(for Adaptive Athletes only)

Neuro

Blind

Chair

Upper Extremity

Lower Extremity

Team Experience

Have you ever qualified and represent the US or any country for team?

USA Climbing Youth Sport Team

USA Climbing Youth Speed Team

USA Climbing Adult Team

USA Climbing Adaptive/ParaClimbing Team

Another country governing team

Option Two

What was your first climbing experience? *

Please describe. Where was it? How did you feel? What did you experience?

What do you like about climbing?

How long have you been climbing?

How many days of the week do you train? *

What are your climbing goals? *

List all of your climbing goals!

Describe your ideal climbing day. *

What are your climbing challenges? *

Health Information

Please complete your health information in the next section.

Previous Injuries *

None

Neck

Shoulder

Wrist

Hand/Fingers

Knee

Leg

Foot

Visual Impairements

None

Wear glasses/ contacts for corrective vision

Color Blind

Depth Limitations

Partial Blindness

Complete Blindness

Learning Style

What way best describes your learning style?

Visual Learner

Auditory Learner

Kinetic Learner

Repetitive Learner

Personality

Introvert

Extrovert

Risk-tasker

Cautious

Assertive

Academic

Competitive

Artistic

Thank you for completing this form! You will recieve a confirmation and preparation letter via email w/in 24 hours

Thank you for taking the time to complete this application. You will receive a response within 72 business hours. Climb Strong!

Emily Taylor

Owner | Coach

Taylored Fit Solutions

360 Grand Ave #318 Oakland, CA 94610 | 415.314.0215

nature is our office