Loading...

Rogue Rock Gym - Release of Liability and Assumption of Risk

NOTICE: THIS IS A LEGALLY BINDING CONTRACT BETWEEN MYSELF AND ROGUE ROCK GYM, LLC (hereinafter "RRG"). In consideration of being permitted to use RRG's facility and/or participate in any program offered by RRG, I agree to the following terms, covenants, and conditions, and make the following representations:

I HEARBY ACKNOWLEDGE THE INHERENT EXTREME RISKS IN ROCK CLIMBING, including climbing on artificial surfaces. I realize that those risks include, but are not limited to falls from contact with walls and equipment, bad decision-making, inattention of belayers or actions of other climbers, misuse or failure of equipment including but not excluded to TrueBlue Auto-Belay devices, holds which may have become loose or damaged, and other accidents. I acknowledge that the above list is not inclusive of all possible risks associated with the use of the facilities, and/or the sport of rock climbing. I VOLUNTARILY ASSUME AND ACKNOWLEDGE SUCH RISKS WITH FULL KNOWLEDGE AND APPRECIATION OF THE DANGER AND RISK INVOLVED.

I voluntarily agree to assume all risk of injury or death that may occur while I am in the facility, participating in any event or program, or climbing anywhere at any time, whether or not under supervision of RRG. I hereby forever give up, waive, and release RRG, its successors, assigns, officers, employees, members, wall designers, builders, and all other related persons and entities from any and all claims, whether known or unknown, which I have or may have in the future, which is in any way connected to my use of RRG's facility and/or any participation in any program or training offered by RRG, including any claims arising from the negligence of releasees.

I represent that I am in good health and have no physical limitations which would affect my safe use of the facilities. I agree to pay attention to the state of any ropes, anchors and other equipment I may use, and to advise staff members if I do any damage or notice damage. I acknowledge that I have read the posted rules, and I agree to abide by these rules and any future rules, and if staff makes a specific request of or instruction to me, I agree to comply. I understand that indoor climbing is not the same as outdoor climbing, which requires additional skills, and I agree to seek qualified instruction before attempting to climb outdoors.

I further agree to defend, indemnify, and hold harmless RRG, its successors, assigns, officers, employees, members, wall designers, and builders, and any and all related persons and entities from any and all claims, whether known or unknown, which is in any way connected to the use of RRG's facility and/or any participation with any program or training offered by RRG, including any claims arising from the negligence of releasees. I agree that should any language of this document be deemed to be unenforceable, the remaining language continues to be legally enforceable.

I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS ENTIRE DOCUMENT. I HAVE READ AND UNDERSTOOD IT, AND I AGREE TO BE BOUND BY ITS TERMS.

Date: November 24, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle 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.
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 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE! and  Rock Gym Pro