Aqua Rock Registration - Whitewater Center

Which heat would you like to climb in?*

Name*

First Last

Gender*

Male

Female

Age*

Email*

Phone*

Address*

Street Address City State ZIP Code

Emergency Contact*

First Last

Emergency Contact Phone*

Have you competed in other climbing competitions?*

Have you done Deep Water Soloing before?*

Select the option which best describes your climbing skill?*

Please select your T-shirt size*

I understand that race shirts are only guaranteed to those who pre-register on or before July 4, 2023*

I understand

I have read and understand the Whitewater Center Assumption of Risk, Release, and Indemnity Agreement.*

I understand

I understand the Whitewater Race Series refund and transfer policy.*

I understand

Credit Card*

Card Details

Cardholder Name

Billing Address*

Same as Participant 1

Street Address City State ZIP Code

Total

Promo Code