Name ___________________________________________ Date __________

Address _________________________ city _______________ zip ________

Phone numbers __________________________________________________

email __________________________________________________________

PLEASE READ THE FOLLOWING:

If you wish to join the Technical Climbing Section of the New Mexico Mountain Club and participate in club top rope outings you must demonstrate proficiency in the following skills. You may attend as a guest two or three times with permission of the trip leader, but must then complete this Top Rope Qualification Form to continue attendance at club Top Rope outings.

A leader must sign to verify the following skills. If you are not the guest of a specific member, the trip leader will be your host. The trip leader or the leader¹s designee is responsible for checking your belay technique, signals and knots. Leaders should provide Liability Releases and Top Rope Qualification Forms to participants.

You must also join the NM Mountain Club ($8 annual membership fee and application form goes to the NMMC Membership Officer). See a leader or the web site for the form. www.swcp.com/~nmmc/climbrocks.

I have attended the following outings:

Date ____________ Location _____________________ Leader/host ____________________

Date ____________ Location _____________________ Leader/host ____________________

Date ____________ Location _____________________ Leader/host ____________________

Top Rope Skills First Outing Belay Check:	By third outing:
_____ standard climbing signals used by the NMMC             (including proper wearing of the harness,             harness check & tie-in technique) _____ proper belay technique _____ figure 8 _____ figure 8 rewoven	_____ bowline knot _____ bowline on a bight _____ grapevine knot _____ water knot _____ butterfly coil

Check out pictures of many of these knots at http://www.swcp.com/~nmmc/climbrocks/knots/knots.html.

A climber with a Leader Rating may check off the skills and sign below. The form must be submitted to the climbing chair who will then add the new NMMC member to the roster with Top Rope Rating.

______________________________________________________________________________
leader¹s name (printed)                        leader¹s signature                                          date

Climbers who earn a Top Rope Rating are strongly encouraged to learn how to rappel using a mechanical rappel device and to learn how to set up top rope anchors in order to assist with club outings.