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Rock Fitness Assumption of Risk, Release and Idemnification


 

HEREBY ACKNOWLEDGE AND AGREE to the following:

 

1. ASSUMPTION OF RISK: I hereby acknowledge, accept and agree that the sport of rock climbing and the use of Rock Fitness facilities involve inherent risks. I have received full information regarding Rock Fitness facilities and have had the opportunity to ask any questions that I wished. I have examined the climbing wall and have full knowledge of the nature and extent of all the risks associated with rock climbing and the facilities at Rock Fitness, including, but not limited to: a. all manner of injury resulting from falling off the climbing wall and hitting the floor, the climbing wall, rock face, people or projections, whether permanently or temporarily in place; b. rope abrasion, entanglement and other injuries resulting from activities on or near the climbing wall such as, but not limited to climbing, belaying, rappelling, lowering on ropes, rescue systems, and any other rope techniques; c. injuries resulting from the actions or omissions of others, including but not limited to falling climbers or dropped items, such as, but not limited to, ropes climbing hardware, wall parts or personal effects; d. cuts and abrasions resulting from skin contact with the climbing wall or any other surface; e. failure or misuse of ropes, slings, harnesses, climbing holds, anchor points, or any part of the climbing wall; f. failure to follow Rock Fitness employee instruction 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 Rock Fitness and in no way limits the extent or reach of this assumption of risk, release and indemnification. I am aware of the safety policy recommending the use of a protective helmet which could prevent permanent brain damage or other injury in the event of an accident. I am also aware it is my responsibility to provide and use a protective helmet according to manufacturer's specifications.

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2. RELEASE: In consideration of my use of Rock Fitness facilities and/or participation in any program or competition by or held at Rock Fitness facilities, I hereby release and discharge Rock Fitness, their officers, owners, affiliates, agents and employees from any and all liabilities, suits, claims, demand actions or damages (including attorneys fees and disbursement), and losses or costs of any nature whatsoever incurred by me or that are in any way related to or arising out of the use or intended use of Rock Fitness facilities whether supervised or not, including, without limitation, all claims for property damage, personal injuries or wrongful death including any such claims which allege negligent acts or omissions of Rock Fitness. The facility contains a number of cameras and web-cams and I consent to the use of such devices. I understand that during the use of the facility, web-cams and cameras may record my activities. Rock Fitness  reserves the right to use climber’s likeness or images as well as any video recorded by the cameras and web-cams. I hereby grant Rock Fitness, its affiliated entities and their licensees the right to use my likeness or image and any and all video recorded by the cameras and web-cams for any purpose. Climbers are permitted to take personal photos at the facility. Anything beyond reasonable use of photography equipment by Participant for personal, non-commercial purposes shall require the express consent of Rock Fitness management.

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3. INDEMNIFICATION: I hereby agree to indemnify and hold harmless Rock Fitness, their owners, members, affiliates, agents and employees, their successors, assigns or designers, engineers, installers of the artificial climbing wall from any and all causes of action, claims, demands, losses and costs of any nature whatsoever arising out of or in any way relating to my use of the Rock Fitness’s facilities, including any such claims which allege negligent acts or omissions of Rock Fitness. I understand and agree that Rock Fitness and its personnel reserves the right to deny access to its facilities to any individual, permanently or for a specified period of time, for any breach of Rock Fitness's policies, rules and regulations or for any conduct that is viewed as unsafe or inappropriate. I permit Rock Fitness to capture any form of media, be it photo or video, and agree that any such media may be used for any and all purposes that Rock Fitness sees fit.

 

This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns, in the event of my death. By signing this agreement, I waive the right to bring a court action to recover compensation or obtain any other remedy for any injury to myself or my property or for my death, however caused, arising out of my use of the facilities of Rock Fitness, now or anytime in the future, whether caused by Rock Fitness negligence or that of its officers, agents or employees. I agree to pay for all legal fees accumulated by Rock Fitness, incurred by any claims made by me or on my behalf. I am at least 18 years of age and otherwise legally competent to sign this agreement. This assumption of risk, release and indemnification shall be effective and binding upon me and upon my assigns, heirs, representatives, executors and administrators. (If under the age of 18, this release must also be signed and filled out below by the parent of the Minor). My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of all risks that may be created, directly or indirectly, by any such condition. I agree that the validity and enforceability of this release of liability and assumption of risk will be governed by the substantive law of California, without regard to its conflict of law rules. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. I have had sufficient opportunity to read this entire document. I have had the opportunity to ask questions about this document. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Rock Fitness on the basis of any claim from which I have released them herein.

 

In order to avoid any illness, serious injury, or death, Rock Fitness advises that you consult a physician before beginning an exercise program, or engaging in strenuous physical activities or diet/nutrition alternations.

 

By Signing I agreee that I have read and understand the above, I also agree that I have read and understand the posted rules and regulations.

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you hear about us?
How'd you hear about us? //Source//*
In consideration of the above minor, being permitted by Rock Fitness to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless Rock Fitness from any and all Claims which are brought by, or on behalf of minor, and which are in any way connected with such use of participation by minor. I hereby state that I am the legal guardian of the minor named above. I am familiar with and consent and agree to the terms and provisions set forth in this Assumption of Risk, Release and Indemnification for Rock Fitness.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

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.


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