HOAC Request to reserve Portable Climbing Wall

To request use of the Portable Climbing Tower for district or council events, please fill out the form below. Once your request is received it will be reviewed for availability and you will be contacted.

You must provide some additional information, after looking at your site including: Google map satellite screen capture and verification of site specifics.

Your email confirmation will specify details you will need to provide.

* required information
Reserve the Portable Climbing Tower 
Please provide District contact & Event information below
Requested Date:*(mm/dd/yyyy)
District:*
District Contact First Name:*
Last Name:*
Cell Phone:*
Email:*
Event or Activity:*
Event or Activity Address (full address):*
Contact at Event:*
Contact at Event Cellphone:*
Trained Climbing Wall Facilitator #1:
Trained Climbing Wall Facilitator #1 Cellphone:
Trained Climbing Wall Facilitator #2:
Trained Climbing Wall Facilitator #2 Cellphone:
Requested Delivery Time:*
Requested Pickup Time:*
Additional notes or comments:
Fees
  Climbing Wall Reservation Request
$150 for District events $200 for Council events
 
Quantity:* 
Total Cost: $