BOLD/GOLD GEAR RENTAL RESERVATION FORM GEAR RENTAL INFORMATION Submit one form per person per expedition/course with your admissions packet. Allow up to 2 weeks for confirmation via email. Payment is processed at time of confirmed reservation. Please provide card information on reverse which will be kept on file. Financial aid & scholarship recipients must complete this gear rental form to receive their basic gear package free of charge. Complete both sides of this form. Gear rental payments are due in advance of expedition/course start day. Cash, Check, and Major Credit Cards are accepted (Visa, MasterCard, Discover, American Express). Rentals are issued during course gear check on expedition/course start day. Technical climbing gear is included in the expedition tuition. Rentals are for use during BOLD/GOLD expeditions only. PARTICIPANT INFORMATION NAME (FIRST/LAST) EMAIL PHONE EXPEDITION/COURSE NAME DATES SIZE INFORMATION IS REQUIRED TO RESERVE ITEMS WEIGHT (LBS) HEIGHT SHOE SIZE US WAIST Check Box To Reserve Items INSEAM GENDER 1 wk. 2wks 3 wks. Basic Gear Package* (see reverse) $85 $147 $200 Internal Frame Backpack $25 $40 $50 Sleeping Bag and Closed Cell Foam Sleeping Pad $20 $35 $45 Medium Weight Hiking Boots $20 $40 $60 Daypack $15 $25 $35 Headlamp $5 $7 $10 Clothing (use clothing request loan form) No fee No fee No fee Complete both sides and submit to BOLD/GOLD Admissions, Metrocenter YMCA 909 Fourth Ave, Seattle, WA 98104 ; FAX 206.382.7894; Email [email protected] *BASIC GEAR PACKAGE INCLUDES: Internal Frame Backpack Sleeping Bag and Closed Cell Foam Sleeping Pad Medium Weight Hiking Boots Headlamp FOR ADDITIONAL INFORMATION ABOUT REQUIRED GEAR: Refer to expedition/course specific packing lists found on our website www.ymcaleadership.org under the “Get Ready” tab. Or to speak with staff, email [email protected] or call the admissions line at 206.587.6119 RENTAL AGREEMENT I promise to return rented items from the YMCA BOLD/GOLD Mountain School in good condition at the end of my expedition/course. I agree and authorize YMCA BOLD/GOLD Mountain School to charge my card on file for repairs and/or replacement of damaged, lost or stolen gear. And I agree not to hold the YMCA of Greater Seattle responsible for any injuries incurred through the use of its rental equipment. By checking this box I accept all terms and conditions of the agreement. Date___/____/___ PAYMENT INFORMATION PAYMENT METHOD ___VISA ___MASTERCARD ___DISCOVER ___AMERICAN EXPRESS ___ELECTRONIC FUNDS TRANSFER EFT ___ FINANCIAL AID/ SCHOLARSHIP RECEIPENT (Fees may be charged for damaged, lost or stolen gear ) CARD # EXP DATE NAME AS IT APPEARS ON THE CARD SIGNATURE ADDRESS STATE PHONE EMAIL ZIP BOLD/GOLD CLOTHING LOAN REQUEST FORM CLOTHING LOAN INFORMATION Submit one form per person per expedition/course with your admissions packet. Allow up to 2 weeks for confirmation via email. Loans are issued during course gear check on expedition/course start day. Technical climbing gear is included in the expedition tuition. Loans are for use during BOLD/GOLD expeditions only. PARTICIPANT INFORMATION NAME (FIRST/LAST) EMAIL PHONE EXPEDITION/COURSE NAME DATES SIZE INFORMATION IS REQUIRED TO RESERVE ITEMS WEIGHT (LBS) HEIGHT PANT SIZE SHIRT SIZE GENDER Check Box To Reserve Items Warm hat Sun hat Sunglasses Bandana Long underwear top Long underwear bottoms Warm water-resistant jacket Warm synthetic long pants Warm fleece jacket Light-weight hiking pants Rain jacket Rain pants Short sleeve t-shirt Shorts Sports bra Gloves Warm socks I/my child understands that clothing will undergo normal wear and tear, and that clothing should be returned to BOLD and GOLD in roughly the same condition as when it was lent. I/ my child understands that if my child has intentionally damaged or lost any clothing on my trip, I may incur a replacement fee. We have read, understood and agreed to the above statements. Parent Signature: _______________ Date: _________ Complete and submit to BOLD/GOLD Admissions, Metrocenter YMCA 909 Fourth Ave, Seattle, WA 98104 ; FAX 206.382.7894; Email [email protected]
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