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Movement Climbing, Yoga & Fitness

Lead Climbing Rules and Assumption of Risk



Acknowledgment of risk: I recognize that there are significant elements of risk associated with the sport of rock climbing, including, but not limited to, injury or death, and I understand that no amount of care, caution, instruction or expertise can eliminate these risks.  

I Agree

I certify that I have experience lead climbing and / or belaying, or that I am enrolled in a Movement class or program where I will receive lead climbing and / or belaying instruction. I am fully aware of the significant risks of lead climbing. These include, but are not limited to:

1. Long falls.

2. Ground falls.

3. Hard impact with climbing wall surface.

4. Feet hitting holds and injuring feet, legs, etc.

5. Falling and inverting by hitting holds, having ropes tangled behind the climber’s legs or other causes which may result in serious injury.

6. Severe abrasions due to rope burn and contact with the climbing surface.

7. Protection, hooks, holds and other devices becoming dislodged with great force and delivering a significant blow to the climber and/or belayer.

8. Becoming entangled in the rope during a fall.

9. Being hit by other climbers falling.

I Agree

I have read and understand all the gym rules, including, but not limited to, the lead climbing rules, and I agree to abide by them. Individuals desiring to lead belay or lead climb must be at least 13 years of age and pass the corresponding Belay Check. Limited exceptions to the age requirement are made for climbing team members.

I understand that signing this document does not give me the ability to lead climb or belay unsupervised and that I must first take and pass the Lead Climb and Belay Check. Proper credentials must be displayed via provided harness tag. Those individuals who do not pass or choose to not take the Belay Check may not belay or tie knots and must wait a minimum of 24 hours before taking or re-taking the Belay Check. I understand that learning to lead climb at Movement does not qualify me to lead climb outside.  

I Agree

Individuals who have passed the Lead Climb Check may borrow a lead rope at the front desk, or use a personal rope provided it’s a single UIAA approved rope, and meets the minimum length as required by the gym. I understand and acknowledge that I am responsible for the maintenance and inspection of my personal gear and any rental/loaner equipment including but not limited to harnesses, ropes, belay devices and carabiners prior to every use.

I understand that if I breach any of the lead climbing rules my lead privileges may be permanently revoked. I understand that Movement is not responsible for enforcing any climbing rules in the facility. Movement staff reserve the right to revoke belay privileges at any time.

THIS AGREEMENT MATERIALLY LIMITS YOUR LEGAL RIGHTS. DO NOT SIGN IT UNLESS YOU AGREE TO BE BOUND BY ITS TERMS.

I HAVE CAREFULLY READ ALL PAGES OF THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.

I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE ON THE DATE HEREOF

I have read, understand and signed the Movement Climbing, Yoga & Fitness Waiver, Release of Liability, and Assumption of Risks agreement and / or Assumption of Risks and Indemnification agreement.

Today's Date: May 15, 2025

 



First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
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*
I represent that I am the parent or legal guardian of the above individual (“Participant”) and I further represent that I am executing this assumption of risk agreement on behalf of myself, individually, and on behalf of my minor child. I understand that I am electing to allow my child to participate in Lead Climbing as a Lead Climber and/or as a Lead Belayer. I understand that Lead Climbing is a climbing activity with two participants – a “Lead Climber” who climbs up the wall, clipping in a rope as he or she climbs, and a “Lead Belayer” who manages the rope from the ground in an attempt to arrest any fall, and to lower the Lead Climber to the ground. Lead Climbing may also involve climbing a route that has been led by another Lead Climber (“Seconding” a route). As a parent or legal guardian of a minor Lead Climber, I am aware that the Lead Belayer, who may also be a minor, has a significant responsibility for the safety of the Lead Climber and there is no guarantee that the Lead Belayer will be able to arrest the Lead Climber’s fall.


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*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
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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