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MOUNTAINEERING, ROCK CLIMBING AND INDOOR CLIMBING RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISK AND INDEMNITY AGREEMENT.

 

Please read and be certain you understand the implications of signing.

Express Assumption of Risk Associated with Mountaineering, Climbing, and Related Activities.

I,


do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Mountaineering, Rock Climbing and Indoor Climbing activities, transportation of equipment related to the activities, and travelling to and from activity sites in which I am about to engage. Inherent hazards and risks include but are not limited to:

Risk of injury from the activity and equipment utilised in Mountaineering, Rock Climbing and Indoor Climbing is significant including the potential for permanent disability and death.
Possible equipment failure and/or malfunction of my own or others equipment.
My own negligence and/or the negligence of others, including employees, agents, independent contractors or representatives of Skyward Mountaineering, including but not limited to operator error.
Injury to hands, fingers, feet and toes, including but not limited to inflammation and/or strain of muscles ligaments and/or tendons, nerve damage or compression, and broken bones.
Injuries from falling may occur from exposure to high altitude, which may affect judgment and coordination, or from not paying close attention to your climbing or others climbing with or near you.
Broken bones, severe injuries to the head, neck, and back which may result in severe physical impairment or even death.
Discharge of weapons in or near the area of activity.
Cold weather and heat related injuries and illness including but not limited to frost-nip, frost bite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration.
Exposure to outdoor elements, including but not limited to avalanche, rock fall, inclement weather, thunder and lighting, severe and or varied wind, temperature or weather conditions.
Attack by or encounter with insects, reptiles, and/or animals.
Accidents or illness occurring in remote places where there are no available medical facilities.
Fatigue, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident.
My sense of balance, physical coordination, and ability to follow instructions.

*I understand the description of these risks is not complete and that unknown or unanticipated risks may result in injury, illness, or death.

 

Release of Liability, Waiver of Claims and Indemnity Agreement

In consideration for being permitted to participate in any way in Mountaineering, Rock Climbing and Indoor Climbing and related activities, I hereby agree, acknowledge and appreciate that:

I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named persons or entities, herein referred to as releasees.

Skyward Mountaineering and all representatives

Owner (Company and/or Person)

To release the releasees, their officers, directors, employees, representatives, agents, and volunteers, from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releasees or otherwise. By executing this document, I agree to hold the releasees harmless and indemnify them in conjunction with any injury, disability, death, or loss or damage to person or property that may occur as a result of engaging in the above activities.
By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this Agreement.

This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforceable.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

I Agree

S/

July 7, 2025

Signature of Adult Participant

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Second Participant's Signature*
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Third Participant's Signature*
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Fourth Participant's Signature*
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Fifth Participant's Signature*
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Sixth Participant's Signature*
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Seventh Participant's Signature*
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Eighth Participant's Signature*
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Ninth Participant's Signature*
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
Tenth Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Activities
Which activity are you participating in?*
FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, do consent and agree not only to his/her release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin. If Participant is a Minor, and by their signature, they on my behalf release all claims that both they and I have.


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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Health Information
FITNESS LEVEL: Please rate your current level of fitness *
Excellent: I can carry a 50 pound pack all day, uphill, with rests.
Good: I can walk up several flights of stairs, and walk at least 4 miles.
Fair: I'm capable of climbing several flights of stairs and walk several miles, but with a great deal of effort and many rests.
Poor: I can't perform any of the above tasks.
Please describe your current conditioning and exercise program.
Please describe your relevant climbing, mountaineering, skiing, or other outdoor experience including your most recent climbs of relevance.
MEDICAL INFORMATION: Please check the box if you currently or have had a history of any of the following:
Asthma
Allergies or Anaphylaxis
Diabetes
Heart Disease
Seizures
If you answered yes to the question above, how long have you had that medical condition?
How well is your medical condition under control?
What medication do you take to control your medical condition(s) and will you have that medication with you on the trip?
What are the signs and symptoms of your medical conditions(s)?
If you answered yes to having allergies, what are you allergic to?
Do you have any musculoskeletal injuries (such as dislocated shoulder or torn ACL) and/or related surgeries (such as joint replacement) that may affect your ability to participate fully in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any problems with vision or hearing?*
No
Yes
If you answered yes to the question above, please describe:
Do you have any other medical or physical condition that may affect your ability to fully participate in the scheduled activity?*
No
Yes
If you answered yes to the question above, please describe:
Are there any accommodations/assistance that you'd prefer to make your guided experience more enjoyable?
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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