As a material inducement for and in consideration of my being permitted by Boulders, Ltd., to climb at its facilities (sometimes referred-to as the “gym“), I agree to the following waiver and release, and I make the following representations.

I acknowledge the inherent extreme risks in rock climbing activities, including those that take place indoors. I realize that those risks include falls, equipment failure, bad decision-making, inattentive belayers, and holds that have become loose or damaged by other climbers. I understand that there are unforeseeable, freakish accidents, and I assume all risks associated with my use of the gym, even though I cannot foresee them. I agree to pay attention to the state of the ropes in the gym and that of the anchors, and to advise gym staff if I do any damage or notice any damage. I agree to abide by all gym rules, and if gym staff makes a specific request of or instruction to me, I agree to comply.

I am physically fit and know of no medical or health reason why I should not participate in the activities that take place at Boulders, Ltd.

I agree to assume all risk of property damage and personal injury, including paralysis and death, that may occur while I am in the gym, or while I am climbing anywhere, at any time. I hereby release Boulders, Ltd., its’ directors, partners, owners, officers, employees, wall builders, wall designers, hold manufacturers, lessors, insurers, and agents, from all liability for any such personal injury or property damage that I may incur. This release even extends to injuries or loss that may occur through the negligence of gym employees or other parties released.

I understand that indoor climbing is not the same as outdoor climbing, and that additional skills are necessary for outdoor climbing that cannot be acquired in the gym. I agree to seek qualified instruction before attempting to climb outdoors.

This release applies to and binds my personal representatives, heirs, and my family. If a member of my family under the age of 18 accompanies me to the gym, I make this release and these representations on his/her behalf as well as my own, and I agree to assume responsibility for his/her safety.

Parents and guardians take note!
If I am a parent or guardian of a minor climbing at the gym, whether or not I am a member myself, or is present when the minor is climbing, I agree to indemnify and hold harmless Boulders, Ltd., and the other parties released, in the event the minor sues them or any one of them. I understand that this means I will pay all fees, costs, and charges, incurred by Boulders, Ltd., or any other party released, including attorney fees for the investigation and defense of claims.

Birthday party hosts, etc., take note!
If I am an adult in charge of a group of minors and am taking them to the gym, I agree to have a release, similar to this one, signed by a parent of each minor in the group. I understand that if I fail to do so, the gym can refuse to let the minor climb or at its’ option, agree to let the minor climb, but that it does so only because I hereby agree to assume full responsibility for the safety of that minor child, and to indemnify and hold harmless Boulders, Ltd., and the other parties released, if that child is injured or suffers any loss and any claim is made on account of those injuries or losses. 

This release is a binding legal contract

I understand that this release is a contract. I sign it of my own free will. I also understand that this contract is survivable; in other words, that if any part of it is held by a court of law to be unenforceable, the rest of it shall survive.


Date: January 28, 2020

First Participant's Name

First Name*

Last Name*

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*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Parent or Guardian's Email Address


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Emergency Contact

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How did you hear about us?

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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 or Guardian's Name

First Name*

Last Name*

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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