Registration - Fit To Climb Peak Phase Training

Please complete this initial intake form. We’ll forward and invoice with payment options and a questionnaire prior to session one. If you’d like to do questionnaire via phone please indicate below. If you have any questions, please use this form or let us know when is a good time to reach you by phone!

Thank you.

Name

First Name

Last Name

Phone

(###)

###

####

When do you plan to climb Mount Rainier?

Any questions about Fit To Climb program?

If you'd have questions and would like to discuss on a phone call, when is a good time to reach you?