Climb Crux Monthly Membership Form (4 Sessions)PKR 8,000 / Month
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Membership Details

Membership Start Date

Member Information

Full Name
Date of Birth
Gender
CNIC
Phone Number
Email Address
City

Emergency Contact

Contact Name
Relationship
Phone Number

Climbing Experience

How would you describe your climbing experience?
Have you climbed outdoors before?

Medical Information

Please mention any medical conditions, allergies, injuries or other information that our instructors should be aware of.

Preferred Climbing Days

Payment Information

Payment Method

Document Uploads

Participant CNIC

A copy of the participant's CNIC must be attached to this form.

Age on form: — B-Form & guardian CNIC are only required for participants under 18.

Membership Terms & Conditions

Please read and tick each box.

Member Declaration

I confirm that the information provided in this form is true and accurate to the best of my knowledge. I agree to comply with all Climb Crux rules, safety procedures and membership policies.
Member Name
Date
Digital Signature — Full Name

By submitting, your application is recorded as Pending Review and a confirmation email will be sent to you.