WC100 Carolina Mountain Club Waterfall Challenge Recognition Application  
Applicant Name: ___________________________________________________
Address:  _________________________________________________________ 
_________________________________________________________________
e-mail Address: _________________________________________________  
CMC Member (you must be a member): Yes or No   If you are not a member, select Join on the 
Web site Home page. 
Do you want your certificate and patch (circle one): Mailed or Presented at Annual Dinner  
Date of Completion:  _______________
Mail or e-mail (photo or PDF) this Application and completed Checklist to:  
J Magura  
6 Fairway View Drive  
Weaverville, NC  28787
WC100@carolinamountainclub.org