REGISTRATION FORM

Mandurah Rock Climbing Speed Competition 2026

Parent First name

Parent Last name

Email

Phone

Child First Name

Child Last Name

Date of Birth

Day

Month

Year

Aditional Information

Registration payments can be made via bank transfer, over the phone or in person at the gym and are due prior to the scheduled event day.

Please see account details below for transfer of funds, or contact Mandurah Indoor Rock Climbing on 9581 7465 to finalise payment.

Westpac Banking Corporation

Mandurah Indoor Rock Climbing

BSB: 036 157 ACC: 591 384

Please include your 'Surname' and 'Speed' as the reference.