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Tyler Rock Gym Release of Liability and Assumption of Risk

In consideration of being allowed to visit and participate at the premises of Tyler Rock Gym LLC, (sometimes referred to in this agreement as “the facility” or “facilities”) I, an adult visitor (eighteen years or older) or a parent/legal guardian of a visitor who is a minor (both referred to herein as “parent”), understand, acknowledge and agree as follows:

Activities: Tyler Rock Gym LLC operates a gym in Tyler, Texas. Visitors may move about the premises of both facilities, including, if qualified, the activity areas. The activities of the Tyler gym include indoor climbing walls, bouldering, and fitness equipment. The climbing walls reach a maximum height of 32 feet. Wall climbers may be supported (“belayed”) by means of a system of ropes or personal autobelays. Climbers must receive an orientation by gym staff before commencing those activities. No visitor may perform belaying services until and unless he/she has been trained by a staff member to do so. Visitors must familiarize themselves with the fitness equipment before use and ask for assistance if needed. These climbing activities can be physically and emotionally demanding; and a visitor may not participate in them if he/she has any physical or mental condition that might cause the visitor to be a danger to himself/herself, to other visitors, or staff. I, an adult visitor or parent, represent that neither I nor, if applicable, the minor child, has any such condition. I certify that I am, or the minor child is, in good health without physical limitations which would preclude participation.

Risks: Visitors will be exposed to risks including, but not limited to: trips, falls, and other trauma while moving about the premises of the gym and including the parking area and areas which may be under construction; overexertion and inattention may produce falls and abrupt contact with other persons, walls, boulders and other structures and equipment; visitors may be struck by falling climbers, dropped tools, and hardware; ropes, harnesses, and other equipment, including fitness machines and equipment, may fail; and other visitors and gym staff may act carelessly. The gym may from time to time employ independent contractors to perform certain services. The gym is not responsible for the acts or omissions of these contractors. These risks and others may result in all manner of injury and loss including breaks, sprains, abrasions, serious injury and even death. The risks described above, and others, are inherent to the premises and their activities -- that is, they cannot be eliminated without destroying the basic nature of the activities and their appeal and value.

Assumption of Risks: I, an adult visitor or parent, hereby expressly acknowledge and assume all risks of a visit to the gym or challenge course, inherent and otherwise, and whether or not described above. I have read and understand the rules of the facility and agree to fully comply with those rules. If the visitor is a minor, I, parent, have discussed the rules, activities and risks with the child, who understands them and wishes to visit and participate in the activities nevertheless.

Release and Indemnity: I, an adult visitor or parent (for myself and, to the maximum extent allowed by law, on behalf of the minor visitor, if applicable) agree to release and not to sue, and to defend and indemnify (that is, to pay or reimburse damages and costs, including attorneys’ fees), neither Tyler Rock Gym LLC; nor the owner or owners of the premises on and in which the facilities are located, nor their respective owners, partners, directors, officers and staff (referred to as “Released and Indemnified Parties”) with respect to any claim related in any way to my or the minor visitor’s visit to the gym for any purpose, including enrollment or participation in an activity of the gym, the use of its facilities or merely moving in or about the premises. These agreements of release and indemnity include loss or damage caused or claimed to be caused by the negligence, but not the intentional wrongs or the gross negligence, of a Released and Indemnified Party.

The terms of this agreement and any dispute between a Released and Indemnified Party and visitor or parent, related to this agreement or otherwise, will be governed by the substantive laws of the State of Texas (not including laws which might apply the laws of another jurisdiction). I agree, for myself and for the minor visitor, that the venue of any suit or mediation will be solely in Smith County, Texas, and I agree to the jurisdiction of the courts of that County, for myself and the child. If I or the child suffer an injury or loss of property while visiting the facilities I agree that I will promptly notify the gym staff of that occurrence.

This document is intended to be binding, to the fullest extent of the law, on all persons signing below, a minor visitor, if applicable, 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. This agreement will govern visits to the facility on the date on which it is signed and thereafter until it is withdrawn by written notice to the facility or replaced.

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 22, 2019

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

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

First Name*

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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*

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Emergency Contact

Emergency Contact's 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.
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.


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