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 *

Last Name *

Email Address *

Address *

City *

State *

Zip Code *

Phone Number *

I am applying for the (check all that apply): *

Guardian Peaks

Oregon Cascades

16 Peaks

5-, 10-, 15- Point Leadership Awards. Indicate the number of leads & assists with a number in the appropriate column.

Attach a photo that can be used for the Mazama Annual and the Awards event (your face should be clearly visible) *

Please attach a file with all of the applicable climb certificates (JPG's or PDF's work well) *