Mount Rainier National Park
Solo Climb Request

Please print legibly.

Name:_Sky Sjue_____________________________      Age:__27_

Address:_666 Sick Bird Ln, Seattle WA 98125_      Route(s): A Bunch of Routes____
             ____________________________________                         ________________________
                 _________________________________________         Dates:     Any day of 2006______

Phone:_206 GET SOME_______Fax:_________________ E-mail:__skykiloTELEgmail.com____

Have you ever been approved to solo on Mt. Rainier before? _NO____________ 
If yes, when:_________________and Route(s):______________________________________

Qualifying Experience:

Please list previous experience on glaciated peaks. Climbs involving glacier travel, altitude, and inclement weather will be viewed with favor.

Other glacier travel and crevasse rescue experience: ____________________________________ ____________________________________________________________________________

Solo climbing experience: ________________________________________________________

Multi-day winter backcountry experience: _____________________________________________ _____________________________________________________________________________

Feasibility of climbing the route given the inherent hazards and projected route conditions:__________ _____________________________________________________________________________

Methods of self-belay and self-rescue from a crevasse:____________________________________
_____________________________________________________________________________

Adequacy of clothing and equipment:_________________________________________________
_____________________________________________________________________________

Plan for self rescue if overdue:______________________________________________________
_____________________________________________________________________________

I understand that solo climbing in glaciated terrain greatly increases the possibility of injury or death and I acknowledge and accept that risk. I, alone, am responsible for my own safety. I certify that the above statements are true and correct to the best of my knowledge.

Name (print): _Sky Sjue___________Sign: Date: 6/4/2006

NOTICE: Approved solo climbers must register with rangers and pay the climbing cost recovery fee prior to departing.  Having a copy of this completed and previously approved form at the time of registration will speed along the registration process. Approval of a solo request in no way constitutes a recommendation by the NPS to solo.  

Please return form to:     Mount Rainier National Park
                                     Solo Climb Request
                                     Attn: Paradise Climbing Rangers
                                     Tahoma Woods, Star Route
                                     Ashford, WA 98304

Or Fax to: 360-569-2187

Or complete this form, attach to or paste into an e-mail and send to: Mike_Gauthier@nps.gov

Please allow one week for processing time once we receive your request.

Office use only: