CMC PRO > Grimp North America > GRIMP Application

GRIMP APPLICATION

GRIMP North America Application

Team Captain/Rescue Member 1*
First Last
I confirm that the team captain is fluent in speaking, reading and understanding English*
I confirm that the team captain is fluent in speaking, reading and understanding English
- Confirm
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Rescue Member 2*
First Last
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Rescue Member 3*
First Last
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Rescue Member 4*
First Last
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Rescue Member 5*
First Last
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Evaluator*
First Last
I confirm that the evaluator is fluent in reading, writing, speaking and understanding English. This requirement is not negotiable. The use of an interpreter to assist the evaluator is not permitted.*
I confirm that the evaluator is fluent in reading, writing, speaking and understanding English. This requirement is not negotiable. The use of an interpreter to assist the evaluator is not permitted.
- Confirm
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Victim*
The victim must weigh a minimum of 60kg (132 lbs) and be at least 18 years of age by the day of event check in.
First Last
Email*
Phone*
Location*
City State / Province / Region Country
Professional Organization or Affiliation*
0 of 60 max characters
Professional Experience*
Please describe your team’s collective professional experience, including specifics on whether you’ve worked together as a team, in ~300 words (1500 characters) or less.
0 of 1500 max characters
Team Icon*
Each participating team will be provided an icon depicting their team’s personality. For design purposes, what are 3 identifying aspects of your team?
0 of 200 max characters
ID Upload*
Please attach the professional/organization identification card for all 5 rescuers and the team evaluator. NOTE: The maximum size allowed is 1MB per file. The maximum number of files allowed is 6.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 1 MB, Max. files: 6.
*
- By checking this box, we are confirming we have read the GRIMP North America rules and requirements above. We acknowledge that due to space constraints and safety considerations only teams will be selected to participate at GRIMP North America. We agree to accept the decision made by CMC upon the announcement of teams. We understand that all non-participating teams and individuals are invited and encouraged to join the event as spectators.
I would like to receive all GRIMP North America event updates.
I would like to receive all GRIMP North America event updates.
- Keep me updated!
Please add me to all CMC email updates which include videos, news and product education.
Please add me to all CMC email updates which include videos, news and product education.
- Sign me up!
I am interested in (select all that apply):
I am interested in (select all that apply):
- Rescue
- Rope Access
Please be patient after hitting the submit button. It can take awhile for the form information to be processed. Do not hit submit multiple times.