EAC Adult Climbing Registration

Please fill out the form below.

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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
 May 10th (5/10-5/31, No Class 5/24) June 7th June 28th July 19th August 9th

 April 27th June 15th July 6th July 27th August 17th

 May 6th May 27th June 17th July 8th July 29th August 19th

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.