EAC Adult Climbing Registration

Please fill out the form below.

Please leave this field empty.

Climber Information

Name (required)

Email Address (required)

Phone Number (required)

Member Status (required)
 Member Non-Member

Select Day and Session

Choose Day

Please Select Start Date
 August 23 September 13 October 4 October 25 November 15 December 6 December 27

 September 14 October 5 October 26 November 16 December 7 December 28

 September 16 October 7 October 28 November 18 December 9 December 30

Payment Authorization

 I authorize Chicago Athletic Clubs to charge my credit card on file I authorize payment to the credit card number listed below

Credit Card Information (if applicable)

 I have a Groupon or discount code I would like to use, and will enter the number below.

Please acknowledge cancellation policy below.
 I understand there are no cancellations or transfers after 1-week prior to start of class, and that there is a $20 fee for each make-up class.

My electronic signature acknowledges that I verify all information on this form is accurate, and I have read and agree to the above policy. I understand my registration is not complete until confirmed by a CAC Climbing staff member.