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North

Unit 4/12 Frederick St
St Leonards 2065

 

South

23 Waratah St
Kirrawee 2232

You must be 18 years or older to sign this form.

All participants to be signed. Under 18s must be signed by a parent/guardian.

 

Terms and Conditions

Risk Warning: Acknowledgement and Assumption of risk release and indemnity

 

WARNING - This is an important document, which affects your legal rights and obligations. Read it carefully and do not complete registration unless you are satisfied that you understand it. If you have any questions please ask our representative.

You are advised that participating is a Dangerous Recreational Activity with Obvious Risks as defined by the Civil Liability Amendment (Personal Responsibility) Act.

I Agree

Warning and Acknowledgement of Risks, Injury and Obligations.

I acknowledge that the activity I am to undertake is a dangerous recreational activity that may involve a significant risk of physical harm and that by participating in it, I am exposed to certain risks.

I Agree

I acknowledge and undertand that whilst participating in such activity:

 

I may be injured, physically or mentally, or may die.

My personal property may be lost or damaged.

Other persons participating in such activity may cause me injury or may damage my property.

I may cause injury to other persons or damage their property.

The conditions in which the activity is conducted may vary without warning.

I may be injured or die or suffer damage to my property as a result of the negligence or breach of contract of the Recreational Activity Provider.

There may be no or inadequate facilities for treatment or transport of me if I am injured.

I assume the risk of and responsibility for any injury, death or property damage resulting from my participation in the activity.

I Agree

I ALSO AGREE THAT in the event that I am injured or my property is damaged, I will bring no claim, legal or otherwise, against Life-Fit Pty Ltd and/or Climb Fit in respect of that injury and/or damage.

I hereby release Climb Fit Sydney, Life-Fit Pty Ltd, Climb Fit Pty Ltd, the owner of the premises and all employees, staff and assistants of Climb Fit or any other persons involved in the listed person(s) participation in activities at Climb Fit from any suit, demand, action or claim for compensation whether for personal injury or damage to property arising from participation by the listed person(s).

I have read and understood this document and know that by completing registration, it affects my legal rights.

I furthermore acknowledge that this document is contractual and may be relied upon in any proceedings by me, my heirs, executors and assigns.

I Agree

Belay Agreement

All new climbers and/or belayers must be instructed by Climb Fit staff on approved Belay and Safety techniques. I agree to undertake the belay and safety procedures and acknowledge that I must not begin participating in any activities until a Climb Fit staff member has given instruction and has also given clearance.

Children under the age of 12 are not permitted to belay and must require adult supervision.

I Agree

 

Under 18 Terms and Conditions
I hereby acknowledge and agree that:

I have read the whole of this document and understood it.

I consent to the participation of the person(s) named in this acknowledgment and release.

If I am not the parent of the person(s) named in this acknowledgment in consideration of the person(s) named in this acknowledgment and release being accepted to participate in the activity, I agree to release and indemnify the Recreational Activity Provider in the same manner and to the same effects and extent as if I were the person first named in this Acknowledgment and Release and the person participating in the activity.

I understand that indoor climbing involves risks that may cause various injuries and that such injuries may result in death or serious mental or physical disability.

I also understand that indoor climbing is physically demanding and in susceptible people may cause panic, hyperventilation or heart attack.

I have been advised of the risks of indoor climbing and the person(s) named in this acknowledgement and release are participating entirely at their own risk of injury or bodily harm to them.

I am aware of the risks, dangers and obligations set out above in this acknowledgment and release to the person(s).

I hereby release Climb Fit Sydney, Life-Fit Pty Ltd, Climb Fit Pty Ltd, the owner of the premises and all employees, staff and assistants of Climb Fit or any other persons involved in the listed person(s) participation in activities at Climb Fit from any suit, demand, action or claim for compensation whether for personal injury or damage to property arising from participation by the listed person(s).

I Agree

I furthermore acknowledge that this document is contractual and may be relied upon in any proceedings by me, my heirs, executors and assigns.

I Agree

These terms apply to the use of the facilities at Unit 4/12 Frederick Street, St Leonards NSW 2065 operated by Life-Fit Pty Ltd as well as the facilities at 23 Waratah Street, Kirrawee NSW 2232 operated by Climb Fit Pty Ltd. When you use the facilities at Unit 4/12 Frederick Street, St Leonards NSW 2065 then these terms govern your relationship with Life-Fit Pty Ltd and both you and Life-Fit Pty Ltd agree to be bound by these terms in that regard. When you use the facilities at 23 Waratah Street, Kirrawee NSW 2232 then these terms govern your relationship with Climb Fit Pty Ltd and both you and Climb Fit Pty Ltd agree to be bound by these terms in that regard.

I Agree

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*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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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