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Application for Mazama Climbing Award
Before you get started:
Copies of summit certificates or previous awards must be attached (JPG or PDF Files work best)
You must be a current Mazamas member to receive an award.
All climbs must be official Mazamas climbs.
You may apply for the highest award you are eligible for.
Application deadlines: March 1
Guardian Peaks:
A certificate awarded for successfully summiting Mount St. Helens, Mt. Hood, Mt. Adams
Seven Oregon Cascade Peaks:
A certificate awarded for successfully summiting Mt. Hood, Mt. Jefferson, 3-Fingered Jack, Mt. Washington, North Sister, Middle Sister, and South Sister
Sixteen Major Northwest Peaks:
A plaque awarded for successfully summiting Mt. Baker, Mt. Shuksan, Glacier Peak, Mt. Olympus, Mt. Rainier, Mt. Stuart, Mt. Adams, Mt. St. Helens, Mt. Hood, Mt. Jefferson, 3-Fingered Jack, Mt. Washington, North Sister, Middle Sister, South Sister, and Mt. Shasta
Terry Becker Award:
Awarded to climb leaders who have led the Sixteen Major Northwest Peaks.
5, 10, and 15 Point Leadership Awards:
Awarded for leadership of successful ascents on the sixteen major northwest peaks. A point system determines eligibility, with one point credited for leads and one-half point for assistant leads. Points are cumulative from one award to the next.
5-Point:
Must include 3 successful leads, 2 of which have been on Guardian Peaks. Certificate.
10-point:
Must include 6 successful leads, 3 of which have been on Guardian Peaks. Certificate.
15-point:
Must inlcude 9 successful leads, 4 of which have been on Guardian Peaks. Certificate.
First Name
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Last Name
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Email Address
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Address
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City
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State
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Zip Code
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Phone Number
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I am applying for the (check all that apply):
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Guardian Peaks Award (peaks 1 - 3)
Oregon Cascades Award (peaks 3 - 9)
Sixteen NW Peaks Award (peaks 1 - 16)
Terry Becker Award
5-Point Leadership
10-Point Leadership
15-Point Leadership
Guardian Peaks
Climb Date
Leader
Route
1 - Mt. Adams
Climb Date
Leader
Route
2 - Mt. St. Helens
Climb Date
Leader
Route
3 - Mt. Hood
Climb Date
Leader
Route
Oregon Cascades
Climb Date
Leader
Route
Mt. Jefferson
Climb Date
Leader
Route
3 Fingered Jack
Climb Date
Leader
Route
Mt. Washington
Climb Date
Leader
Route
North Sister
Climb Date
Leader
Route
Middle Sister
Climb Date
Leader
Route
South Sister
Climb Date
Leader
Route
16 Peaks
Climb Date
Leader
Route
Mt. Baker
Climb Date
Leader
Route
Mt. Shuksan
Climb Date
Leader
Route
Glacier Peak
Climb Date
Leader
Route
Mt. Olympus
Climb Date
Leader
Route
Mt. Stuart
Climb Date
Leader
Route
Mt. Rainier
Climb Date
Leader
Route
Mt. Shasta
Climb Date
Leader
Route
5-, 10-, 15- Point Leadership Awards. Indicate the number of leads & assists with a number in the appropriate column.
Lead
Assist
Mt. Baker
Lead
Assist
Mt. Shuksan
Lead
Assist
Glacier Peak
Lead
Assist
Mt. Stuart
Lead
Assist
Olympus
Lead
Assist
Mt. Rainier
Lead
Assist
Mt. Adams
Lead
Assist
Mt. St. Helens
Lead
Assist
Mt. Hood
Lead
Assist
Mt. Jefferson
Lead
Assist
3-Fingered Jack
Lead
Assist
Mt. Washington
Lead
Assist
North Sister
Lead
Assist
Middle Sister
Lead
Assist
South Sister
Lead
Assist
Mt. Shasta
Lead
Assist
Attach a photo that can be used for the Mazama Annual and the Awards event (your face should be clearly visible)
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Please attach a file with all of the applicable climb certificates (JPG's or PDF's work well)
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