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The Climbing Wall Waiver is required for all participants who want to access the Westside Climbing Wall. Climbing Wall waivers are valid for 1 year. 

The Westside Regional Recreation Centre

CLIMBING WALL

RELEASE OF ALL CLAIMS AND WAIVER OF LIABILITY

WARNING: By signing this agreement you and your personal representative give up your right to bring a court action to recover compensation for injury to your self or your property or for the death arising out of your use of the climbing walls and equipment at the Westside Regional Recreation Centre.

I hereby acknowledge and agree that while I am participating in the activities or programs involving the use of the climbing walls and climbing equipment at the Westside Regional Recreation Centre that:

I am aware that the sport of indoor rock climbing has inherent risks and I have full knowledge of the nature and extent of the risks associated with rock climbing particulars at which include but are not limited to:

A) all manner of injury resulting from falling while using the climbing walls and impacting against climbing wall faces, protruding ledges, wall supports, collision with the floor, or any other permanent or temporary fixture
B) rope abrasion, entanglement and other injuries resulting from activities such as climbing, belaying, rappelling and other rope techniques
C) injuries resulting from dropped items such as climbing hardware, ropes, holds, or falling climbers
D) cuts and abrasions resulting from skin contact with climbing panels
E) failure of ropes, slings, harnesses, climbing equipment, anchor points or any part of the climbing structure

RELEASE AND WAIVER OF LIABILITY

In consideration of the use of the climbing walls and the climbing equipment from the Westside Regional Recreation Centre, I acknowledge the following:

The Westside Regional Recreation Centre, its members, officers, directors, employees, agents, and independent contractors (hereafter referred to as The Westside) and each of them are not responsible for any loss or damage sustained by me including loss and damage caused by injury to my person or property or by my death howsoever caused and notwithstanding that same may have been caused or contributed to by the negligence of or the breach of the duty of care prescribed by the Occupiers’ Liability Act RSA 1980 c. 0-3 by The Westside.

I have full knowledge of the nature and extent of the risks involved in using the facilities at The Westside, I am voluntarily assuming the risks involved and in doing so I fully understand that I will be solely responsible for any loss or damage I sustain, including the loss or damage caused by injury to my person or property or by my death however caused and notwithstanding that same may have been caused or contributed to by the negligence of or the breach of the duty of care prescribed by the Occupiers’ Liability Act RSA 1980 c. 0-3 by The Westside.

I agree to relieve The Westside of all liability for all loss or damage arising from any cause whatsoever including the negligence of or the breach of the duty of care prescribed by the Occupiers’ Liability Act RSA 1980 c. 0-3 by The Westside.  I hereby exempt The Westside from the legal consequences which would otherwise flow from their negligence or their breach of the duty of care prescribed by the Occupiers’ Liability Act RSA 1980 c. 0-3.

I hereby release, waive and discharge The Westside from all liability to my heirs, executors, administrators and assigns for all loss or damage and any claims or demands for such loss or damage on account of injury to my person or property or by the death whether caused by the negligence of or the breach of the duty of care prescribed by the Occupiers’ Liability Act RSA 1980 c. 0-3 by The Westside or otherwise and I further agree not to sue The Westside.

I am executing this release and waiver of liability agreement freely and voluntarily without any compulsion on the part of The Westside.  I acknowledge having read this entire agreement prior to signing it.

In consideration of the use of the climbing walls and equipment at The Westside by our (son/daughter) herein before described, we the parents/legal guardians of the minors identified, agree to indemnity and save harmless The Westside as herein before described against and from all actions, damages, claims and demands which may hereafter be brought against The Westside by or on behalf of our said child in respect of or arising out of any accident, whether caused by negligence or by the breach of the duty of care prescribed by the Occupiers’ Liability Act RSA 1980 c. 0-3 by The Westside which may result in injury or damage to our child against any loss arising therefrom.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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