ACA Wasatch Chapter Questionnaire Name ____________________________________________________________ Email ____________________________________________________________ Phone ____________________________________________________________ I am interested in becoming an active member of the Wasatch Chapter. ____ YES ____ NO I am willing to contribute some time and energy to help organize the Chapter and am most interested in serving in the following capacities: ____ Elected Member of Executive Committee ____ Volunteer for Safety and Training Committee ____ Volunteer for Service Projects Committee ____ Volunteer for Outings/Rendezvous Committee ____ Other ________________________________________________________ I am willing to contribute some time and energy to help with the following upcoming ACA events: ____ ACA/SUU Canyoneering Conference, Sep 26-28, in Cedar City ____ ACA Fall Canyon Rendezvous, Sep 29 ­ Oct 2, Zion Ponderosa ____ Service Project during Fall Canyon Rendezvous, Zion National Park Please complete and email to: rcwild@wildernessmail.net Thanks.