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Date Guided: -Select month January February March April May June July August September October November December -Select day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -Select year 2004 2005 2006 2007 2008

Guide: -Select guide Anna Keeling Brian Brechwald Bruce Engelhard Calvin Hebert Brett "Cowboy" Kobernik Craig Patterson Daniel Griffith Dave Hanning Eric Gindelsperger Erik Gustafson Jenna Sall Julie Faure Lorne Glick Marc Appling Mike Ruth Nancy McCullough Peter Lev Rick Wyatt Spencer Wheatley Thad Bookman Travis Rypkema Tyson Bradley Jason Shumaker Eric Townsend Dave Budge

Activity: -Select activity Rock Climbing Ice Climbing Summer Mountaineering Winter Mountaineering Backcountry skiing/snowboarding Avalanche Education Canyoneering Self Rescue Aid Climbing

Duration: -Select duration Full Day Private Half Day Private Multi Day Private Full Day group Half Day group Multi Day Group Single Day Class Multi Day Class

How would you rate your experience?:(1-horrible, 5-most excellent)

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Did you learn and achieve everything you desired during this experience?

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