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NH Climbing & Fitness Release of Liability and Assumption of Risk 

ASSUMPTION OF RISKS, RELEASE OF LIABILITY AND INDEMNIFICATION

THIS RELEASE IS A BINDING LEGAL CONTRACT. PLEASE READ IT CAREFULLY BEFORE SIGNING.

The undersigned ("Participant") desires to use the facilities or programs of EVO Rock + Fitness, Concord, LLC, d/b/a NH Climbing & Fitness, (hereinafter “The Club”), 10 Langdon Ave., Concord, NH 03301 ("Facility"). In consideration of The Club permitting me to use the Facility, I hereby agree to be bound by the terms of this Assumption of Risks, Release of Liability and Indemnification and by the provisions of the Rules and Regulations of The Club, a copy of which has been delivered to the Participant at the time that this Release is executed and delivered by the Participant (together, the “Release”).

I hereby acknowledge, accept and agree that the sport of rock climbing, the use of The Club's climbing wall and other facilities, including but not limited to off-site events and camps, (collectively, the "Facilities'") and participation in activities, programs and trips, including camps, offered by The Club (collectively, “Programs”) involve inherent and significant risks. I am satisfied as to the information I have received regarding the Facilities and Programs and have had the opportunity to ask any questions that I wished and received thorough answers to my questions. I have examined the Facilities Program information and I am aware that there are significant inherent risks associated with rock climbing, and the other activities offered at the Facility including yoga, weightlifting, aerial yoga, and other generally understood fitness activities and principles.  The use of the Facilities and participation in Programs, including but not limited to:

  1. All manner of injury resulting from my falling off or from the Wall or climbing site, hitting the floor or ground, wall faces and features, climbing holds, people, or rope projections, whether permanently or temporarily in place;
     
  2. Rope abrasion, entanglement and any other injuries resulting from activities on or near the Wall, including but not limited to, climbing, belaying, rappelling, lowering on ropes, rescue systems, and any other rope techniques;
     
  3. All manner of injury resulting from the actions, omissions or negligence of other participants, visitors or other persons who may be present including, but not limited to, falling climbers, or dropped items, such as, but not limited to, ropes, climbing hardware, spinning or broken holds, other wall parts, falling rocks or other objects, or personal effects;
     
  4. Cuts and abrasions resulting from skin contact with the Wall or any other surface;

  5. Failure or misuse of ropes, harnesses, belaying equipment, automatic belaying equipment, climbing holds, anchor points, on any part of the Wall or climbing site;

  6. Failure to follow The Club’s posted rules and regulations, employee’s instructions, or failure to ask for information or assistance.

I further acknowledge that the above list is not inclusive of all possible risks associated with the use of the Facilities or Program participation. Transportation to and from off-site activites, including but not limted to camps, is an example of such other possible risk. I agree that such list in no way limits the extent or reach of the Release. If I see or hear anything that I feel is questionable or dangerous, it is my responsibility to ask or inform The Club’s employees until corrected or satisfactorily answered.

I certify that I have no medical, physical, or other conditions that could interfere with my ability to belay and follow or give directions while climbing, belaying or any other activity within The Club. I have read, understand, and agree to comply with The Club’s rules and regulations. I understand that indoor rock climbing is not the same as outdoor climbing and that additional skills and training are necessary for outdoor climbing that cannot be acquired indoors. I agree to seek qualified instruction before attempting to climb outdoors.

If I choose not to wear a helmet, I agree to assume all risk of personal injury and death that may occur as a result of not wearing a helmet. The Club reserves the right to use any photograph or video taken at The Club or in the course of Programs for promotion materials, brochures, and/or website, whether in the course of open climbing, during a lesson, birthday party, private group or otherwise. The Club retains exclusive rights to such photographs and videos.

I do not have any transmittable medical condition that could adversely affect others. I agree that if I have any reason to suspect that I may have COVID-19, symptoms related to COVID-19, or any related or similar virus, I will not access The Club. I acknowledge and agree that should I be exposed to COVID-19 through my use of The Club or any of its related programs or activities, I will not hold The Club liable for any related sickness, injury, or damages that may result from such exposure. I hereby release the Club, Evolution Realty, LLC, and their agents, employees, members, and officers from any and all claims resulting from or related to contacting COVID-19, or any related or similar virus, illness, or disease while using the facilities of The Club or any of its programs.

I also  agree   to  release and discharge The Club, EVO Rock + Fitness, Concord, LLC, EVO Realty,  LLC, and  all  of   their respective officers, directors, shareholders, members, partners, employees, agents, and representatives, as well as all other persons, corporations, or other entities that might have any liability to me (the “Released Parties”), from and against any and all damages, actions, claims, and liabilities, whether known or unknown, anticipated or unanticipated, suspected or unsuspected, relating to, or arising from any activity, occurrence, or otherwise involving the Facilities or Programs. This Release is intended to release and discharge the Released Parties from all damages, actions, claims and liabilities of any nature, specifically including, but not limited to, damages, actions, claims, and liabilities arising from or related to the negligence of any Released Parties. I further agree to indemnify, save, and hold harmless, and defend the Released Parties from and against any loss, damage, liability, and expense, including costs and attorneys' fees, incurred by a Released Party as a result of my using the Facilities or participating in any activity sponsored by or involving The Club.

In the event of any litigation arising from or related to this Agreement, or the services provided under this Agreement, the prevailing party shall be entitled to recover from the non-prevailing party all reasonable costs incurred including staff time, court costs, attorney’s fees, and all other related expenses incurred in such litigation. In the event of a no-adjudicative settlement of litigation between the parties or a resolution of a dispute by arbitration, the term “prevailing party” shall be determined by that process.

The laws of the State of New Hampshire shall govern the rights and obligations of the parties to this Release and the interpretation, construction, and enforceability thereof. I agree that any lawsuit brought against any Released Party shall be brought solely in the New Hampshire courts of competent jurisdiction. I hereby voluntarily waive any right I may have to a trial by jury in any action, proceeding, or litigation involving any Released Party.

Date: November 21, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

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*
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.


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*
Parent or Guardian's Information
CLIMBING EXPERIENCE: Which best describes the participant's climbing experience? Please check **ALL** that apply. *
First Timer
Beginner (less than 1 yr)
Moderate (1-3 yrs)
Experienced (3 years or more)
Bouldering
Top Rope climbing
Lead Climbing
BELAYING: Does the participant have experience with belaying?*
Yes
No
GYM RULES: The participant, or in the case of a minor, their parent or legal guardian, acknowledges that s/he has read The Club's posted Gym Rules, and has had an opportunity to ask questions about the Gym Rules and agrees to follow them.*
Yes
No
AUTO BELAY ORIENTATION: Prior to using an Auto Belay device, the participant acknowledges s/he is required to receive instruction from The Club's Staff on the proper use-of and limitations-of the Auto Belay device and s/he will not use an Auto Belay Device without said instruction.*
Yes
No
BOULDERING ORIENTATION: While not inclusive of all possible risks of bouldering, the participant acknowledges the Bouldering Orientation items listed below.*
Yes
No

BOULDERING ORIENTATION: 
  1. Every fall, while bouldering, is a ground fall which increases the risk for injury. 
  2. The participant is responsible for ensuring that a "crash" pad/mat is under their fall zone prior to climbing.
  3. The participant should not climb beyond their ability and acknowledges that they may fall at any time.
  4. The participant should not try to break their fall with their arms or hands, nor should they try to "stick" their landing when falling; they should "roll" with their momentum.
  5. The participant should always be aware of their surroundings as other climbers may fall or swing unexpectedly in their path.
  6. The participant will keep "crash" pads/mats clear at all times and will not place themselves or set items in the fall zones.
  7. If spotting another climber, the participant should use the proper technique, supporting the climber's center of gravity and "guiding" them to a "crash" pad/mat during a fall.
  8. A harness should not be worn while bouldering. 
  9. The participant has reviewed The Club's Gym Rules and has had an opportunity to ask questions. 

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