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 ---Sundays 2-4pmMondays 7-9pmWednesdays 7-9pm Please Select Start Date Sundays May 10th (5/10-5/31, No Class 5/24) June 7th June 28th July 19th August 9th Mondays April 27th June 15th July 6th July 27th August 17th Wednesdays June 17th July 8th July 29th August 19th Payment Authorization (required) 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.