Tandem Rappel Request Form:



2011 New River Gorge Bridge Day
Tandem Rappel Request

Request must be submitted prior to October 6.
Each tandem rappeller must meet with Bruce Smith Friday, October 14.
Submitting a request does not guarantee a tandem rappel.
No request and/or no meeting with Bruce Smith means NO tandem rappel.
A tandem rappel must be made between June and Bridge Day™.

Date:
(Most Recent 1st)

Name of Tandem Rappel    Distance Where (ie: Park, City, State, Country)   Partner
         
         
         
         
         
         
         
         
         


Group   Name  
Equipment you are using?   Bridge DayPartner  
Bridge Day Tandem Rappel Before?

__ No  __ Yes

Years:

# 2011 Tandem Rappels Planned? # Years Tandem Rappels?
Team OK w/Tandem Rappel? __ No  __ Yes Time You Expect To Tandem Rappel?  

 

Applicant’s Signature                                                                               Date _______________

As the group leader, I authenticate that this person has met the requirements as outlined herein, and has the qualifications, skills, and experience to do a tandem rappel off the New River Gorge Bridge. I, furthermore, hold myself responsible for this person’s application and participation in the 2011 Bridge Day™ Rappel and/or High Line.

Group Leader’s Signature                                                                       Date _______________