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Ajax Rock Oasis Inc.  Visitor Agreement

Release from Liability and Assumption of Risk

I understand that there is a risk of serious injury or death from participating in climbing and bouldering. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of Ajax Rock Oasis Inc.’s staff or clients and I assume full responsibility for my participation. Climbing (top rope climbing, lead climbing, and autobelay climbing), belaying (top rope and lead), bouldering, and visiting in the area of climbing walls or bouldering walls are all dangerous activities.

Ajax Rock Oasis Inc's staff and owners continue to do their due diligence to help prevent the spread of Covid-19 in their facility, but cannot guarantee a risk-free visit. I accept all responsibility in the event I do become ill due to my visit to Ajax Rock Oasis Inc's facility, and agree to release Ajax Rock Oasis Inc, their staff and owners of any liability regarding Covid-19 or any other contagion.

I will not consume any alcoholic beverages or any other substance which would impair my senses prior to using or while using the facilities of Ajax Rock Oasis Inc.

I recognize that when bouldering every fall is a ground fall.  I assume full responsibility for my choice in spotters, and bouldering pad placement. I will only boulder up to the designated 8 foot limit line.

When climbing, I will wear a climbing harness for which I assume all responsibility for putting on correctly. In the roped climbing areas, I will tie into the rope with a figure eight follow through knot for which I assume all responsibility for tying correctly, and I will be belayed while climbing. I assume full responsibility for my choice in belayers. Ajax Rock Oasis Inc. attempts to provide safe ropes, anchors and belay devices but will not be responsible for poor judgement by an ill-chosen belayer.

I will belay only when knowledgeable and experienced at belaying. I will make use of the autobelays only when knowledgeable and experienced in their use. I understand that children under the age of 13 must have adult supervision at all times while using the autobelays.

I assume full responsibility for my personal belongings and will not hold Ajax Rock Oasis Inc. responsible for lost or stolen personal belongings.

I understand that information regarding my visit may be shared with Ontario Public Health or the Durham Region Department of Health if there is any specific need to do so.

I have read and fully understand the above and hereby waive and release any liability relating to the use of Ajax Rock Oasis Inc. I, for myself and on behalf of my heirs assigns, personal representatives, and next of kin, hereby release and hold harmless Ajax Rock Oasis Inc., their officers, agents and/or employees, other participants, and owners of the premises used for the activities, with respect to any and all injury, illness, disability or death, whether caused by the negligence of the releasees or otherwise.

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.

Today's Date: December 5, 2020

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*
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 Legal 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 Legal Guardian's Name

First Name*

Middle Name

Last Name*

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