Mountain Rescue Aspen Pledge Application

Mountain Rescue Aspen Online Pledge Application

Our team has several opportunities for members of our community to get involved. Attached to this letter are two forms to be completed. On the bottom is a commitment statement. Please read and sign this if you are interested in being part of our team.
Mountain Rescue Aspen is a volunteer organization dedicated to saving lives through backcountry rescue and mountain safety education. Pledges interested in becoming involved with Mountain Rescue Aspen must understand the time commitment necessary. Pledges who show interest and attend the necessary meetings and trainings will be given our full support and attention. Pledges who do not meet the standards or show inconsistency in meeting our standard will not be asked to participate. Mountain Rescue Aspen is a serious commitment with members and associates who bring great value to this community.

We look forward to getting to know you.

Douglas Paley

President

Mountain Rescue Aspen

Have you been to a General Meeting? (You must attend a meeting before submitting)

Name
*

Attach Photo here:
*

Home Phone

Cell Phone
*

Street Address
*

Street Address Continued

City
*

State
*

Zip
*

Email
*

Colorado Driver License Number
*

License Expiration
*

Employer

Work Phone

How long have you lived in the Roaring Fork Valley?
*

Occupation

Age
*

Birth Date
*

Height
*

Weight
*

Physical Limitations

Pre-‐existing Medical Conditions

Are you on any medication (please specify)

Emergency Contact Name
*

Emergency Contact Phone
*

Emergency Contact address
*

Member Reference
*

Medical Certification
*

Expiration Date

CPR Type

Expiration Date

Upload your CPR card here

Hepatitis B
*

YES

Date of vaccine

Please Select One:
*

Membership

Administrative Associate

Field-‐Eligible Associate

Please select a number. The higher the number shows more experience in that field.

Welcome to the Mountain Rescue Aspen Online Pledge Application

We look forward to getting to know you.

Mountain Rescue Aspen Board of Directors

Why do you want to join Mountain Rescue Aspen?
*

What value will you add to Mountain Rescue Aspen?
*

ELECTRONIC SIGNATURE (Please type your full name)
*

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Mountain Rescue Aspen Online Pledge Application

Welcome to the Mountain Rescue Aspen Online Pledge Application

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