Register for Klimberz Program

Advance registration is required! Please complete the form below and we will contact you to place your child in the appropriate group.

"*" indicates required fields

Parents Name*
Childs Name*
Please enter a number from 4 to 16.
Childs Gender*

Returning Participant
Has your child been part of a kids climb program?
Select the days that your child is available to attend a session
Place a check next to each day that works.
Hidden
Arrange the items below from first to last
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
Hidden
Arrange the items below from first to last
  • 4pm to 5pm
  • 5pm to 6pm
  • 6pm to 7pm
Available Mon - Fri Session Times
Please select the session time(s) that your child is available to attend a session during the days you selected above.
This field is for validation purposes and should be left unchanged.