La Sportiva National Boulder Jam Please complete the following details for each athlete that you are registering in this competition. After you have completed and selected the categories you will be directed to Paypal to complete the registration, How many people are you registering? * 1 2 3 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Competitor Details First Name * Last Name * Street Address (Home) City (Home) Postal Code (Home) Country (Home) - select Country (Home) - New Zealand Australia Date of Birth Date * Email (Primary) * Event Fee(s) Club Affiliation * - select Club Affiliation - Auckland Sportclimbing Club - $ 0.00 Waikato Climbing Club - $ 0.00 Rotorua Climbing Club - $ 0.00 Dynomites Climbing Club - $ 0.00 The Flying Geckos - $ 0.00 Cliffhangers Climbing Club - $ 0.00 Bay of Plenty Sport Climbing (BOPSCA) - $ 0.00 Taranaki Tuataras - $ 0.00 Otepoti Rock Wranglers - $ 0.00 No club or International - $ 0.00 Select the club that you are a member of and where you have obtained your domestic license from, Bouldering one category only * - select Bouldering one category only - Open B Female [FOBB] - $ 50.00 Open B Male [MOBB] - $ 50.00 Youth B Male [YBMB] - $ 50.00 Youth B Female [YBFB] - $ 50.00 use this option if you are registering for your age category only Total for this participant Name and Address State (Home) - select State/Province - Auckland Bay of Plenty Canterbury Gisborne Hawkes Bay Manawatu-Wanganui Marlborough Nelson Northland Otago Southland Taranaki Tasman waikato Wellington West Coast Review