In consideration of UNC Wellness Centers (UNCWC) giving my Minor Child(ren), listed above, the opportunity to participate in climbing activities, including, but not limited to, climbing, belaying, lowering on ropes, the right to engage in technical rock climbing, rock wall climbing, rock climbing classes, rappelling, and other activities related in any way to rock climbing activities provided to my Minor Child(ren) by UNCWC (“Climbing Activities”), I, for and on behalf of my Minor Child(ren), his/her/their personal representatives, assigns, heirs and next of kin, state and agree to the following: ASSUMPTION AND ACKNOWLEDGEMENT OF RISK I acknowledge, agree and represent that I understand the dangerous nature of Climbing Activities and that my Minor Child(ren) are qualified, in good health, and in proper physical condition to participate in such activities. I acknowledge that Climbing Activities entail known, unknown and unanticipated risks, seen and unseen, which could result in physical or emotional injury, paralysis, death, and damage to property or third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activity. I agree to assume all risk and bear full responsibility for any injury or damage I may suffer while participating in Climbing Activities. My Minor Child(ren) have no physical or mental limitations which would preclude his/her(their) safe use of the climbing walls, climbing equipment, or exercise equipment, or being in the landing zones (“Walls”) and/or I assume all risks that may be created by such limitations. I further certify that I am not currently mentally impaired or under the influence of drugs or alcohol, and am otherwise legally competent to understand and enter into this Agreement. I am assuming the hazard of this risk upon myself since I wish to allow my Minor Child(ren) to climb at the UNCWC facility. The risks outlined in this Agreement are not exhaustive and I acknowledge that there may be other risks, hazards, and dangers that, based on the circumstances, are integral to Climbing Activities. FACILITY RULES AND AGREEMENTS I will ensure that my Minor Child(ren) comply with ALL UNCWC rules, both written and as stated to me by UNCWC during my participation in Climbing Activities. I will ensure that my Minor Child(ren) obey the UNCWC staff in regards to those rules as they affect his/her(their) safety, other participants and observers, the property of UNCWC, and all resources used in conjunction with Climbing Activities. I understand that UNCWC reserves the right to refuse or terminate my participation in Climbing Activities for any non-discriminatory reason at any time. I am aware of the recommended use of a protective helmet during Climbing Activities, which could prevent permanent brain damage or other injury in the event of an accident. I am also aware that I may provide my own protective helmet for the use of my Minor Child(ren) or that he/she(they) may use a protective helmet provided by UNCWC. I agree to use any such helmet according to the manufacturer’s specifications while participating in Climbing Activities and that, should I choose to participate in Climbing Activities without a helmet, I assume all risks associated with that decision. I have read this agreement, understand its terms, and have signed it freely and without any inducement or assurance of any nature, and intend it to be a complete and unconditional assumption and acknowledgement of the risks of Climbing Activities to the greatest extent allowed by law. I also agree that if any portion of this Agreement is held to be invalid, illegal, or unenforceable, that portion of this Agreement shall be deemed separate, distinct and independent, and shall be ineffective to the extent it (i) invalidates the remaining provisions of this Agreement under applicable law or (ii) affects the legality, validity or enforceability of this Agreement. I certify that I am at least 18 years of age and that no other representations have been made to me that change, alter, or modify anything within this Agreement. Additionally, I give UNCWC permission to use in its marketing materials any picture in which my likeness appears unless I notify UNCWC in writing otherwise. Today's Date: May 5, 2025 |