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Registration Form
Unsupervised Climbing at Avid Climbing

Participation Statement
“The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.”
If you are under 18 years of age DO NOT fill in this form!  Please ask at Reception for the correct form.

CONDITIONS OF USE
For adult membership of Avid Climbing

RULES

General Safety

  1. Report to reception on each visit before you climb.
  2. You must exercise care, common sense and self- preservation at all times.
  3. Report any problems with the walls, equipment or other climbers’ behaviour to a member of staff immediately.
  4. Be aware of other climbers around you and how your actions will affect them.
  5. Entry and exit to the first floor is via the stairs only.
  6. Stand well back from the climbing walls unless you are spotting the person climbing.
  7. Do not distract people while they are climbing.

When Bouldering

  1. Always climb within your capabilities and descend by down climbing or at the very least by a controlled fall.
  2. Never climb directly above or below another climber, always be aware of other climbers in the bouldering area.
  3. All problems end with a hold, do not attempt to grab the top of the wall unless you are climbing the top-out area.
  4. Look at each problem before starting to ensure you know how you will climb down.
  5. Use the designated stairs to descend from the top-out area, do not jump from the top.
  6. No hard objects, food or drink in the bouldering zone.
  7. If a hold spins, report it to a member of staff immediately.
  8. No sitting, running or lying down on the matted area.

Risks - “The Mountaineering Council of Scotland and the BMC recognise that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.”

Although Avid Climbing is an artificial environment the risks involved are no less serious than when climbing outside on a crag or mountain. There is an additional risk that bolt-on holds can spin or break. The soft flooring under the bouldering walls is designed to provide a more comfortable landing for climbers falling or jumping from the bouldering wall.

THE SOFT FLOORING DOES NOT GUARANTEE YOUR SAFETY AND FROM TIME TO TIME HOLDS MAY SPIN.

Broken and sprained limbs are common on this type of climbing wall despite the soft landing.

Uncontrolled falls are likely to result in injuries to yourself or others. Climbing beyond your capabilities on any wall is likely to result in a fall. Any fall may result in an injury despite the safety systems in place to avoid it. You must make your own assessment of the risks whenever and wherever you climb.

Our Duty of Care - The rules of the climbing centre are not intended to limit your enjoyment of the facilities. They are part of the duty of care that we, as operators, owe to you, the customer, by law. As such they are not negotiable and if you are not prepared to abide by them then the staff must politely ask you to leave.

Your Duty of Care - You also have a duty of care to act responsibly towards the other users of the centre. Statements of ‘Good Practice’ are posted around the centre adjacent to the relevant facilities. These describe the accepted methods of use and how customers would normally be expected to behave towards each other.

Unsupervised Climbing - Before you climb without supervision the centre expects you to be competent in the basic safety knowledge required to use the centre. You are required to register to say that you know how to use the equipment, that you are prepared to abide by the Rules above and that you understand the risks involved in your participation. Anyone who has not registered is classed as a novice and must not climb without the direct supervision of a registered member.

Unsupervised climbing is just that! Staff will provide whatever help and advice they can, but instruction in the use of equipment or climbing techniques will only be provided where it has been booked and paid for in advance. If you are not confident in the use of any climbing equipment or technique then do not attempt to use it without the supervision of someone who is competent to do so.

Supervised Climbing - An adult who has registered at the centre may supervise up to two novice climbers as long as they are prepared to take full responsibility for the safety of those people. Groups of three or more novices must only be supervised by an instructor holding relevant qualifications and insurance, and who is registered with us and has been inducted by Avid Climbing to do so.

Children – All children in the centre must be supervised by an adult unless they have been assessed by the management and registered for unsupervised climbing by a parent or guardian of that child.

Declaration of fitness    I certify that to the best of my knowledge, I do not suffer from a medical condition which might have the effect of making it more likely that I be involved in an accident which could result in injury to myself or others.

Declaration of fact   I also confirm that the above information is correct and if any information changes I will notify the centre.

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
First Participant's Signature*
Second Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Third Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Fourth Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Fifth Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Sixth Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Seventh Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Eighth Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Ninth Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
Tenth Participant's Name

First Name*

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

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Occupation:

How did you hear about us?

Conditions of Registration

Once you have read the Conditions of Use and Rules of the climbing centre, you must answer the following questions by choosing either "YES" or "NO" in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.

Have you read and understood the Conditions of Use and Rules of the centre?*
Do you understand that the matting under the walls does not guarantee your safety?*
Do you understand that topping out is only permitted in the designated area?*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
Are you medically fit to take part in the activities in this centre?*
Do you agree to abide by the Rules & Conditions of Use of Avid Climbing?*
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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