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SANTA FE CLIMBING CENTER ADVENTURE CAMP PARTICIPANT AGREEMENT RELEASE OF LIABILITY, ACKNOWLEDGEMENT AND ASSUMPTION OF RISKS

PLEASE READ CAREFULLY BEFORE SIGNING.
THIS IS AN AGREEMENT NOT TO SUE AND IS LEGALLY BINDING.

In consideration for Santa Fe Climbing Center, Ltd. Co. and their affiliates, members, directors, officers, agents, employees, volunteers and all other persons acting on their behalf (collectively, “SFCC”) allowing me to participate in SFCC activities, including, but not limited to use of roped climbing walls, bouldering areas, training and fitness equipment and facilities, gear demonstrations, clinics, training, yoga or fitness classes, outdoor climbing, hiking, rappelling, instruction, camps, classes, the rental or borrow of equipment or any other activities offered by or involving SFCC, whether at an SFCC facility or elsewhere, I agree to release and discharge SFCC, on behalf of myself, my children, parents, heirs, assigns, personal representative, and estate as follows:

  1. I am capable of understanding the terms of this agreement and the risks associated with SFCC activities.
     
  2. I acknowledge that the sport of rock climbing and use of rock climbing equipment whether on artificial climbing walls or in a natural outdoor setting involves inherent risks, both known and unanticipated, which could result in serious physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
     
  3. I acknowledge that participating in activities offered by SFCC, including but not limited to: fitness classes, outdoor education, leadership lessons, slack line walking, hiking and rappelling involves inherent risks, both known and unanticipated, which could result in serious physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activities.
     
  4. I understand that I am responsible for assessing the quality of my own climbing or fitness gear that I bring to SFCC. I further understand that I am responsible for assessing my own fitness and the limits of my abilities.
     
  5. I understand that safety equipment, proficiency checks, supervision, instruction, guidance and the enforcement of rules by SFCC does not guarantee my safety or eliminate the inherent risks. The risks include but are not limited to:

    Hazards in traveling to the location of the activity; slips, trips or falls while using the facilities or equipment, climbing walls, bouldering areas, landing surfaces, floors, or from natural terrain; falling on others, falling to the ground, falling off the climbing walls, cliffs or boulders and/or being fallen on by others; landing on uneven, worn or hard surfaces or pads; collision with objects, people or structures; loose, spinning and/or damaged artificial and/or natural holds; falling rocks, climbing holds or other dropped or falling items; harm due to exposure to the elements; rented equipment failure or failure of my own equipment even when properly used; abrasions from the wall, rope, pads, rock, trees, ground or floor; belay and/or belayer failure, spotter failure, climbing out of control or beyond one’s personal limits; the negligence of myself, other climbers, visitors, participants, or other persons who may be present; musculoskeletal injuries and/or over training, head injuries, aggravation of pre-existing injuries and other risks inherent or otherwise in SFCC activities.

     
  6. I acknowledge that SFCC provides safety helmets free of charge to all customers, which can help prevent head or neck injury or permanent brain damage in the event of an accident. I understand that if I choose not to wear a helmet, I may be increasing the risk of the activity in which I am participating.
     
  7. ASSUMPTION OF RISKS: I expressly agree and promise to accept and assume all of the risks, inherent and otherwise, existing in all SFCC activities whether or not described in this document. My participation in these activities is purely voluntary; I understand that I have the right to terminate my participation at any time; I elect to participate in spite of the risks.
     
  8. RELEASE OF LIABILITY: I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless SFCC 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 SFCC’s equipment or facilities, including any such claims which allege negligent acts or omissions of SFCC.
     
  9. Should SFCC be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
     
  10. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else to bear the cost of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.
     
  11. This agreement shall be construed in accordance with the laws of the State of New Mexico, and for any dispute arising under this agreement, I hereby submit to the exclusive jurisdiction of the state courts of New Mexico or the United States District Court in the District of New Mexico.

By signing this document, I acknowledge that it is legally binding and I have waived my legal rights. I have carefully read this document and had the opportunity to ask questions. I voluntarily sign this document and agree to be bound by its terms.


Date: July 16, 2019

 

Santa Fe Climbing Center Rules

General

  1. All climbers and observers must check in and sign a release of liability form before entering the gym past the lobby.
  2. All persons using SFCC must respect other individuals in the facility and conduct themselves in a responsible manner. Any person who fails to adhere to general safety guidelines and regulations, or who is behaving in an unsafe, rude or disorderly fashion will be asked to leave the facility.
  3. No one may use the equipment and/or facilities at SFCC while under the influence of alcohol, drugs, or controlled substances.
  4. Place all personal belongings in lockers or designated areas. The gym is not responsible for lost or stolen items.
  5. No food or beverages are allowed in climbing areas.
  6. Guests must be at least 14 years old to use exercise equipment, unless they are a part of a SFCC program.
  7. No dogs or pets are allowed in the climbing gym except qualified service animals.

    Climbing Guidelines

     
  8. Climbing is inherently dangerous. Participants must assume the risk of climbing.
  9. All climbers must undergo a facility orientation from SFCC staff before participating in any activity.
  10. Individuals desiring to belay/lead climb/lead belay at SFCC must take and pass the relevant SFCC safety checks. Those individuals who do not pass or choose not to take the belay check may climb but not belay or tie knots and must wait a minimum of 24hrs before re-taking the test
  11. Climbers must tie into a rope with a double figure eight knot. All carabiners used for belaying or floor anchors must be locking.
  12. Climbers may only use harness and belay devices approved by SFCC that follow modern manufacturing guidelines
  13. No one under the age of 14 is permitted to belay unless permission is granted by SFCC management
  14. The teaching of rock climbing safety procedures is not allowed in the facility except by SFCC staff.
  15. Right of way belongs to first climber to start a route, others should yield at a safe distance until the first climber is safely out of the way.
  16. Stay clear of climbing areas and fall zones when not climbing.
  17. No top roping on single bolts
  18. Do not top rope on designated lead-only routes
  19. Use the top rope that is closest to the final hold for the attempted route
  20. Do not grab, hang from or step on bolts or quick draws
  21. Children under the age of 12 must be supervised and connected to the Auto Belays by an adult
  22. Lead climbers must provide their own UIAA- approved rope (min 9.5mm) in good, working condition and we recommend that you tie a knot at the end of your rope.
  23. There should be no skipping clips in lead climbing, but the first clip is optional.
  24. No one under the age of 14 may lead belay or lead climb unless permission is granted by SFCC management.
  25. Falls taken while bouldering are the most common cause of injuries in the gym. Padded surfaces may not protect you from injury. SFCC management also recommends a spotter when bouldering.
  26. Climbers may boulder outside of bouldering area but chest may not go above first quickdraw.

    Guidelines Regarding Children

     
  27. Children under 12 years old must be under direct supervision of a parent/guardian at all times, unless they are a part of a SFCC program.
  28. Parents and guardians are responsible for the behavior of their children, including compliance with all rules and policies, while at SFCC.
  29. For children under 12 years old a ratio of 3:1 (3 kids to 1 parent/guardian) must be kept at all times.
  30. ​No children under the age of 5 are allowed to climb or boulder and must stay off the climbing areas.


I have read, understand and agree to follow these rules.


Date: July 16, 2019

 

Santa Fe Climbing Center Adventure Camp Rules & Guidelines

Authorization of Non-Parental/Guardian Pick-up:

If a person other than a parent/guardian is to pick up your camper from the Santa Fe Climbing Center, please list his/her names and phone numbers below. We will not release your camper without this authorization.

Drop Off and Pick Up of Camper:

Camp begins at 8:30 am.

  • All campers must arrive no later than 8:30 am.
  • When the camper is dropped off, he or she must sign in with Name and Arrival Time.

Camp ends at 3:30 pm sharp.

  • The camper may be picked up between 3:15 and 3:30 pm.
  • When the camper is picked up, the parent, guardian, or authorized agent must sign the camper out with Name and Departure Time.

 

Before & After Care:

Must arranged and paid in advance.

  • Before-care begins at 8:00 am. The cost is $15/day or $60/week.
  • After-care is from 3:30 - 4:30 pm. The cost is $15/day or $60/week.
  •  Before and after-care is $30/day or $120/week.

 

If the camper is not picked up by the arranged time there will be a $10.00 fee for every fifteen minutes after 3:30 pm (or 4:30 pm, if after-care is pre-arranged) unless another agreement is made with the Santa Fe Climbing Center.

I understand that I will be charged the above fees if my camper is not picked up by the arranged time.

 

Medical Release:

In the event of an accident or illness, I understand that reasonable effort will be made to contact the parent immediately. However, if I am not available. I authorize the S.F.C.C. to secure emergency medical care as needed.

 

"We strive to create a positive learning atmosphere, where your child will learn to love climbing.” Climbing has inherent dangers and we pride ourselves on keeping every camper safe. Our priority is to create a safe environment and have a great time climbing together! To ensure that we can create as pleasant and safe experience as possible, we ask that you please inform us if your child has any medical or behavioral concerns prior to the week of camp. We ask that you inform us if your child struggles with things like impulse control or other concerns that could pose a danger to themselves or others. If we are not informed of such problems, and discover that there are significant concerns that pose a risk to your child and/or other children due to disruptive and/or dangerous behavior, we will not be able to take your child climbing outside. This decision would be necessary due to the elements of high risks to themselves and others. If we are informed before-hand, then we can develop a "behavior modification plan” together. In addition, tell us if there are medical concerns with your child. For example, if your child has profound allergies that can pose a significant risk and would require immediate evacuation for emergency care, then we would have to add additional staff to safe-guard your child. Additional cost could be associated in either case due to having to provide additional services and/or additional staff. We will evaluate this on a case to case basis.

The Camper must follow the rules and guidelines in this document. If the camper is not able to follow the Santa Fe Climbing Center's staff instructions and or creates an unsafe environment for him/herself, other campers or staff he or she may not be allowed to continue the camp. No reimbursements for that camp will be made to the parents or guardians in such an event.

I HAVE CAREFULLY READ THIS RELEASE, AUTHORIZATION, RULES AND GUIDELINES DOCUMENT. I ATTEST THAT I AM OVER EIGHTEEN YEARS OF AGE AND AM NOT A MINOR IN MY STATE OF RESIDENCE OR, IF I AM A MINOR IN SUCH STATE, THAT MY PARENTS OR LEGAL GUARDIANS HAVE ALSO SIGNED THIS FORM IN THE "CONSENT" SECTION BELOW.


Date: July 16, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Third Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Fourth Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Fifth Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Sixth Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Seventh Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Eighth Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Ninth Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Tenth Participant's Name

First Name*

Middle Name

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
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*
In consideration of “Minor” being permitted by SFCC to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless SFCC from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

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

Name of Authorized Non Parental/Guardian Pick-up

Phone

Name of Authorized Non Parental/Guardian Pick-up

Phone

Does the camper have any special physical limitations, allergies or dietary restrictions?

Is the camper especially susceptible to any illness(es) or taking any medication (with instructions)?

Doe you have any other suggestions or health -related information for camp personnel?

Name of Family Physician

Phone

Medical Health Insurance Carrier

Policy No
Before-Care Needed (8:00-8:30am)
Entire week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
After-Care Needed (3:30-4:30pm)
Entire Week ($60)
Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
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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