Loading...

Vertex Release of Liability and Assumption of Risk

In consideration of the services of Ascent Climbing Center, Inc. dba Vertex Climbing Center, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “VCC”), I hereby agree to release, indemnify, and discharge VCC, on behalf of myself, my children, my parents, assigns, personal representative and estate as follows:

1. By executing this waiver, I acknowledge that I agree to RELEASE VCC FROM ALL LIABILITY FOR ITS OWN NEGLIGENCE. 

I further acknowledge that activities at Vertex entail known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: falling off the wall climbing walls; loose and/or damaged artificial holds; rented equipment failure; falling to the ground; falling on other users; or being fallen on by other users; abrasions from the walls, ropes, pads or the floor; equipment failure; belay and or belayer failure; tripping on climbing pads or ropes, climbing out of control or beyond one’s personal limits; the negligence of other climbers, visitors, participants, or other persons who may be present; tripping or falling off the balance course, strains from weight equipment, falling weight equipment, musculoskeletal injuries and/or over training; head injuries; or my own negligence or the negligence of others.

The risks also include exposure to and illness from communicable diseases, including but not limited to MRSA, influenza, and COVID-19.  While following particular rules and regulations developed by VCC and public health authorities may reduce certain risks in relation to these diseases, the risks of developing serious illness and/or dying do exist no matter how much care is exercised by VCC.

To assist VCC employees in fostering as safe an environment as possible, I agree that I will comply with all rules and regulations developed by VCC and public health authorities for participation in activities sponsored by VCC, including those for protection against transmission of communicable diseases.  In addition, if I observe any unusual or significant health hazard of any sort during my presence at VCC facilities or participation in activities it sponsors, I will remove myself from participation and bring this to the attention of a VCC representative.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless VCC from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of VCC’s equipment or facilities.

4. I acknowledge and agree that in the event I sustain any injury, illness, or death in relation to my participation in the activities associated with VCC, I am solely responsible for any costs of medical treatment I incur as a result.

5.  In the event that I file a lawsuit against VCC, I agree to do so solely in the state of California, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.  

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against VCC on the basis of any claim from which I have released them herein.

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: June 25, 2022

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First 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 Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE! and  Rock Gym Pro