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 January 17-31 February 7-21 February 28 - March 13 March 20 - April 10 (No Class 3/27) April 17-May 1 May 8-22 Mondays January 18 - February 1 February 8 - 22 February 29 - March 14 March 21 - April 4 April 11-25 May 2-16 Wednesdays January 20 - February 3 February 10 - February 24 March 2-16 March 23 - April 6 April 13-27 May 4-18 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 discount code I would like to use. 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.