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Rocks and Ropes of Tucson, Inc. 330 S. Toole Ave. suite 400,Tucson, Az 85701, (520) 882-5924

Rocks and Ropes, the BLOC Inc. 8975 E. Tanque Verde Rd., suite 155, Tucson, Az 85749, (520) 209-2562

RELEASE FORM

ACKNOWLEDGEMENT OF RISK, RELEASE OF LIABILITY AND AGREEMENT NOT TO SUE.

THIS IS A LEGALLY BINDING AGREEMENT.

All climbers must have a signed RELEASE FORM on file with Rocks & Ropes and present a photo ID if requested. This entire form must be completed.

I HEREBY AGREE AS FOLLOWS (to be signed by the user / entrant, by the parent or legal guardian of any user / entrant under age 18)

1. This agreement waives any right I have, or may have in the future, to sue Rocks and Ropes of Tucson, Inc. and Rocks and Ropes, the BLOC, Inc., its officers, agents, and employees (collectively, “Rocks & Ropes”), for any loss, damage, expense or injury to myself, including death, arising out of my use of the climbing gym, guide services, equipment or facilities of Rocks & Ropes, or my participation in activities involving Rocks & Ropes, due to any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF ROCKS & ROPES.

2. The sport of rock climbing and use of rock climbing equipment, whether in a natural outdoor setting or an indoor climbing gym, involve inherent risks. Safety equipment, proficiency checks, orientation, supervision and enforcement of rules by Rocks & Ropes do not guarantee my safety. I know that by participating in the sport of rock climbing, I risk injury or death from many potential causes, including but not limited to injury from:

  •  Climbing, falling off of or striking rock or other climbing surfaces or landing surfaces.
  •  Falling climbers, rocks, or dropped items such as ropes or climbing hardware.
  •  Failure of climbing equipment, anchors, or any part of the climbing surface.
  •  Hazards of trails, access roads, transport by motor vehicles.
  •  Contact with venomous or dangerous animals, insects or plants in outdoor areas.
  • Incomplete or misheard orientation or directions from Rocks and Ropes' employees, staff, or others.

The above list does not contain all possible risks associated with climbing and does not limit my release of liability or agreement not to sue.

3. I assume the risk that I may be injured. My participation in climbing and my hiring of Rocks & Ropes is voluntary, and I elect to participate, notwithstanding the risks.

4. I will indemnify and hold Rocks & Ropes harmless for liability for property damage or personal injury, including death, to myself or any other person, arising from my utilization of personnel, facilities or equipment of Rocks & Ropes or participation in activities involving Rocks & Ropes.

5. I will indemnify and hold Rocks & Ropes harmless for attorneys’ fees, costs or expenses it may incur in enforcing this agreement or that relate in any way to my activities at or with Rocks & Ropes.

6. I will indemnify and hold Rocks & Ropes harmless in any legal action by a third party injured as a result of my utilization of the personnel, facilities or equipment of Rocks & Ropes or participation in activities involving Rocks & Ropes.

7. I have adequate insurance to cover any injury or damage I may cause or suffer while using the facility or equipment of Rocks & Ropes, or I agree to bear the costs of such injury or damage myself.

8. To my knowledge, I am in good health and have no physical limitations that would preclude my safe participation in climbing activities. I assume the risk of injury arising from any medical or physical condition I may have, whether or not I disclosed that condition to Rocks & Ropes.

9. I acknowledge that I am responsible for the safety of all personal equipment I use while participating in activities involving Rocks & Ropes, and I use all personal equipment at my own risk.

10. If any portion of this agreement is determined to be void or unenforceable by a court or jury, the remaining portions shall remain in full force and effect. I agree that if any portion is invalid or unenforceable, the amount of any recoverable damages is limited to a return of the entrance or participation fee.

I HAVE READ, UNDERSTAND AND AGREE TO OBEY THE SAFETY RULES OF ROCKS & ROPES. I HAVE HAD ALL QUESTIONS ANSWERED TO MY SATISFACTION. I HAVE READ AND AGREE TO ALL OF THE ABOVE.


 

Date: April 19, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Please list any medical conditions or allergies of which you would like for us to be aware:
First Participant's Signature*
Second Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Third Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Fourth Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Fifth Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Sixth Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Seventh Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Eighth Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Ninth Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
Tenth Participant's Name

First Name*

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

Please list any medical conditions or allergies of which you would like for us to be aware:
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*
EMERGENCY CONTACT RELATIONSHIP:

Relationship to Climber or belayer *

PARENT/GUARDIAN CONSENT (IF CLIMBER IS UNDER 18 YEARS OLD): As Parent or Court-Appointed Legal Guardian of the above minor, I hereby give my consent for his/her use of the facilities and equipment of Rocks & Ropes, subject to the terms and conditions set forth in this RELEASE FORM.



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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Please list any medical conditions or allergies of which you would like for us to be aware:
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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