New member sign-up with liability waiver, first-time climber and day-pass booking, class and private coaching registration, birthday party and group event booking, and combined customer feedback with corporate partnership inquiry — for indoor bouldering, top-rope, and lead-climbing gyms
Get started with PocperWhether you're learning the rope for the first time or working on a long-term project, our coaches will meet you where you are. Tell us what you want, and we'll match you with the right session.
Full name:
Email:
Phone:
Age:
Existing member?
Yes — current member
No — non-member (course fee includes day pass)
Group classes — tick all you're interested in:
Top-rope intro (2 hours)
Lead climbing fundamentals (4 hours, prerequisite: top-rope cert)
Bouldering technique & footwork (90 minutes)
Movement & body-tension drills (90 minutes)
Crack climbing introduction (3 hours)
Anchor building & safety systems (3 hours)
Kids program — ages 6–10 (weekly)
Youth program — ages 11–16 (weekly)
Women's-only intro class (2 hours)
Prefer 1-on-1 attention? Tick the format you want:
1-on-1 private coaching (1 hour)
1-on-1 private coaching (90 minutes)
Private coaching for 2 — split the cost with a partner
Small-group coaching (3–4 climbers)
Not interested in private coaching at this time
Where are you on the climbing journey?
Complete beginner — never tied a knot
Beginner — top-rope only, working on technique
Intermediate — comfortable on top-rope, want to push grades
Intermediate-plus — leading easy routes, refining technique
Advanced — projecting hard routes, looking for periodization help
Coach me on a specific weakness (describe below)
Tick the days that work for you:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of day:
Early morning (before 10am)
Late morning (10am–12pm)
Early afternoon (12pm–3pm)
Late afternoon (3pm–6pm)
Evening (6pm onward)
Preferred start date:
Earliest start time:
Have a coach in mind? Mention them below — otherwise we'll match you to the best fit for your goals and schedule.
Preferred coach (optional):
Tell us about your climbing goals, recent progress, weaknesses you want to work on, and anything we should know (past injuries, fear-of-falling work, comp prep, outdoor projects, etc.):
Climber signature:
If under 18, parent/guardian signature:
Date:
Thanks — a coach will reach out within 1 business day to confirm your session!
The Class & Private Coaching Registration template is a ready-to-use form from Pocper's Indoor Rock Climbing Gym pack. Customize the fields to match your workflow, then share a link so clients can complete it and upload documents in real time.