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Hogtown Boulders - Routesetting Clinic Liability Waiver and Release Form

ASSUMPTION OF RISK AND WAIVER OF LIABILITY

I, acknowledge that participating in a routesetting clinic involves physical activity that may include heavy lifting, climbing, the use of power tools, and work at heights. I understand and agree to the following:

1. Voluntary Participation

I am voluntarily participating in this routesetting clinic. I understand the nature of the activity and that it involves inherent risks, including, but not limited to, falling, physical strain, cuts, abrasions, equipment failure, and injury from improper use of tools or equipment.

2. Assumption of Risk

I understand and voluntarily assume all risks associated with my participation in this clinic, whether foreseen or unforeseen, and regardless of whether caused by the negligence of the facility, staff, or other participants.

3. Medical Fitness

I certify that I am in good health and have no medical condition or physical limitations that would increase the risk of injury or limit my ability to participate safely.

4. Release of Liability

I hereby release and hold harmless the facility, its owners, employees, instructors, volunteers, and affiliates (collectively “Released Parties”) from any and all liability, claims, demands, or causes of action related to any injury, death, or damage to personal property that may occur as a result of my participation in the routesetting clinic.

5. Rules and Safety

I agree to follow all safety instructions, use all equipment properly, and adhere to the guidelines provided by instructors or staff during the clinic. I understand that failure to comply may result in removal from the clinic without refund.

6. Media Release

I grant permission for photos or videos of me to be used for promotional or educational purposes.

7. Acknowledgment

I have read this document carefully and understand that I am waiving certain legal rights. I sign it voluntarily and acknowledge that it shall be binding upon me, my heirs, and legal representatives.

Date: October 6, 2025

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant

I certify that I am the parent or legal guardian of the above minor(s).

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. Parent/Guardian name must exactly match ID card

By signing, the parent or court-appointed legal guardian agrees that they are also 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*
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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