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Release of Liability and Assumption of Risk

Participant Agreement

(Including assumption of risks and agreements of release and indemnity)

This Agreement covers participation in the activities of, and the use of the premises, facilities and equipment of, City Rock, LLC, a Colorado Limited Liability Company doing business as CityROCK.  City Rock, LLC, and CityROCK are referred to in this document as “The Center”.  This agreement affects the legal rights of participants and their families, and should be read carefully. It must be signed by each adult (eighteen years and older) participant or, if the participant is a minor, by a parent or guardian of that minor.  The parent or guardian (referred to in this document as “Parent”) signs and agrees for himself or herself and on behalf of the minor participant.  As used herein, "Participant" refers to the adult participant who signs this agreement and to the minor on whose behalf it is signed.

In consideration of being allowed to participate in the climbing and other activities offered by The Center, and the use of its equipment and facilities, I, Participant or Parent of a minor Participant, understand, acknowledge and agree as follows:

Activities

Activities offered by The Center include climbing indoors on artificial walls or boulders, rappelling, “slack lining”, “dry tooling” (simulated ice climbing), simulated caving, yoga, fitness classes and activities (including treadmills, free weights and other exercise equipment), a kids’ course (designed for children as young as two years), indoor games and play equipment and team building exercises. The wall or walls for climbing or rappelling may reach heights of forty-five feet. Wall climbers are assisted by means of handholds attached to the walls, and, depending on heights and other circumstances, may be supported in the climb by means of a “belay” – a system of ropes or cable operated automatically or managed by a staff member or other person, including another participant, at or near the base of the wall and at other points along and above the climbing route. [LG1] [LG2] Bouldering activities will not be belayed, spotted or otherwise managed by The Center, although a climber may choose to be spotted by another participant.  “Slack-lining” involves moving across a rope or cable at a height of about two feet off the ground. The simulated cave is approximately 1000 feet long, and participants must crawl through narrow (some, two feet or slightly less in diameter) passageways, including a variety of elevations, turns and challenging obstructions and cave-like formations and creatures. Participants may exit the cave at intervals of approximately 30 feet.  The kids’ course is accessed from the second floor of the gym and includes several enclosed net bridges, crawling tubes and tunnels, swings and slides, at heights of up to 25 feet.

These activities require moderate to heavy physical exertion and can be physically and emotionally demanding.  The Center must be notified if a Participant has any mental or physical condition that might create risks to himself or herself or to other participants or staff, including fears of confined spaces or close personal contact with others.  Participant, or Parent, represents that Participant has no such conditions or that, if they do exist, Participant, or Parent, has so notified The Center, and has completed The Center’s Medical Form truthfully and to the best of his or her knowledge.

Risks

The risks of the activities of The Center include, among others, the following:

All manner of injury resulting from falling off the climbing wall or boulder or exiting the boulder by means of a slide; falling from or being struck by exercise equipment, collisions with other persons, the wall, holds and other projections (permanent or temporary), exercise equipment, mats or the floor.
Rope abrasion, entanglement and other injuries resulting from activities on or near the climbing walls or artificial boulders, including, among others, climbing, belaying, rappelling, lowering on a rope, rescue systems, and other rope uses and techniques;
Injuries resulting from falling climbers or dropped items, including, among others, ropes and climbing (including ice climbing) tools and hardware;
Cuts, abrasions and other trauma resulting from contact with other persons, the climbing wall, the interior walls of the cave, the rope and plank enclosures of the kids’ course, and other structures, and climbing (including ice climbing) tools and hardware;
Failure of ropes, slings, harnesses, climbing hardware, belay devices, anchor points, or any part of the climbing wall or cave, or kids’ course.
Carelessness of other participants, and staff, including while supervising or managing a belay,
Fears and phobias, including the fear of heights and, in the cave environment, confined spaces, separation from others, close personal contact, and artificial cave-life, including bats and insects.
Strains, pulls and other trauma arising from yoga or fitness exercises.
Moving about the premises, where the activities are conducted and otherwise, and use of the facilities, including the café, locker room, and lounge and entry areas, and including areas which may be under repair or construction.
The Center may from time to time employ independent contractors to perform certain services in connection with the activities.  The Center is not responsible for the acts or omissions of these contractors.

The above list does not describe all possible risks associated with the activities of The Center, its facilities and premises and the list does not limit the extent or scope of the following assumption of risk, release and indemnity. The risks described above, and others, are inherent to the program and its activities -- that is, they cannot be eliminated without destroying the basic nature of the program and reducing its appeal and value.

Assumption of Risks

I, an adult Participant or Parent, understand that the risks described above, and others, inherent or not, may result in loss of or damage to property, personal injuries and even death.  I, for myself, and, to the extent allowed by law, for the minor Participant, nevertheless hereby expressly acknowledge and assume all such risks, inherent and otherwise and whether or not described above and accept responsibility for all such risks, and for injuries or other losses which may be suffered by me or by the minor Participant, related to climbing or another activity of the gym or simply moving about the premises.  If Participant is a minor, I, Parent, have discussed the terms of this Agreement, including the description of activities and risks, with the minor who understands them and chooses to participate nevertheless.

Release and Indemnity

I, an adult Participant, or Parent of a minor participant (Parent, for myself and on behalf of the minor), hereby agree to release and discharge City Rock, LLC (doing business as CityROCK, and referred to herein as The Center) its owners, directors, trustees, employees, officers, and contractors (referred to as “Released Parties”) from all claims and liabilities in any way arising from or connected with my, or the minor Participant’s, participation in activities of The Center, including moving about its premises and the use of its facilities and equipment.  I understand that by signing this document, I surrender my rights, and the rights of the minor for whom I sign below, to make a claim or file a lawsuit against City Rock, LLC, The Center or any other Released Party for personal injury, property damage, wrongful death or otherwise.

If I am an adult Participant or Parent of a minor Participant I further agree to defend and indemnify (that is, to pay or reimburse damages and costs, including attorneys’ fees and insurance deductibles) The Center and the other Released Parties from any claim associated with my, or the minor Participant’s, participation in activities of The Center, including moving about its premises and the use of its facilities and equipment whether brought by me, the minor Participant, a co-participant, member of my, or the minor’s, family, a rescuer or any other person, for loss or damage either suffered by me or the minor, or caused  in whole or in part by my, or the minor’s, conduct.

These agreements of release and indemnity include loss or damage caused or claimed to be caused in whole or in part by the negligence, but not the intentional wrongs or the gross negligence, of City Rock LLC, The Center or another Released Party.  I understand that if I make a claim or file a law suit against a Released Party in violation of this agreement I will pay all expenses and costs, including attorney’s fees incurred by that party in investigating and defending the claim.

Other, including Photo Release

This agreement will apply to my, or the minor Participant’s, visit to the premises of The Center on the date on which it is signed and thereafter until it is replaced by a later agreement.  That later agreement will apply to participation thereafter but will have no effect on rights created by this agreement.

 I hereby give my permission and consent to the taking of photographs, videotapes, and other images of me or the minor Participant and agree that such images may be published and otherwise used by The Center for advertising, promotion, publicity, or any other purpose The Center deem appropriate, without compensation to me or to the minor Participant.

I acknowledge that I have read and understand the Safety Policies of The Center and agree to fully comply with those policies.  If I am the Parent of a minor Participant, I have discussed the Safety Policies with the minor participant and the minor agrees to comply.

The terms of this agreement and any dispute between a Released Party and Participant or Parent will be governed by the substantive laws of the State of Colorado (not including laws which might apply the laws of another jurisdiction); and any suit or mediation of the dispute will take place solely in El Paso County, Colorado.

This document is intended to be binding, to the fullest extent of the law, on each person signing below, a minor participant of which they are parent or guardian, and their respective successors, heirs, executors, administrators and family members.  If any part of this document is deemed by a court of competent jurisdiction to be unenforceable the remainder shall nevertheless be in full force and effect. The terms of this agreement cannot be altered except by a written document signed by the parties.

Date: August 26, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

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

What school district do you or your children attend?
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Third Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Fourth Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Fifth Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Sixth Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Seventh Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Eighth Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Ninth Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
Tenth Participant's Name

First Name*

Middle Name

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

What school district do you or your children attend?
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*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you hear about us?
How did you hear about us?*
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*

Middle Name

Last Name*

Relationship*

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

What school district do you or your children attend?
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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