bold/gold gear rental reservation form

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]