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Romford Rock & Boulder Waiver 18+

“The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death.
Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement."

Although the Climbing Centre is an artificial environment, the risks involved are no less serious than when climbing outside on a boulder, crag or mountain. There is an additional risk that bolt-on holds can spin or break.

The soft flooring under the bouldering walls is designed to provide a more comfortable landing for climbers falling or jumping from the bouldering wall. THE SOFT FLOORING DOES NOT MAKE THE CLIMBING ANY SAFER.
Broken and sprained limbs are common on this type of climbing wall despite the soft landing. Uncontrolled falls are likely to result in injuries to yourself or others.Climbing beyond your capabilities on any wall is likely to result in a fall.
Any fall may result in an injury despite the safety systems in place to avoid it. You must make your own assessment of the risks whenever you climb.

Our Duty of Care:
The rules of this climbing centre as set out below are not intended to limit your enjoyment of the facilities.They are part of the duty of care that we (as operators) owe to you (the customer) by law. 
As such they are not negotiable and if you are not prepared to abide by them then the staff must politely ask you to leave.

Your Duty of Care:
Report to reception on each visit before you climb.
You must exercise care, common sense and self preservation at all times.
Report any problems with the walls, equipment or other climbers' behaviour to a member of staff immediately.
Be aware of other climbers around you and how your actions will affect them.
Never climb directly above or below another climber.
Do not sit or stand near or under the walls when people are climbing.
Keep the mat free of any obstructions like bags, clothing, bottles, shoes, etc.
Do not touch any girders, metalwork or lights.
No food or drink on the mat.
When using equipment and facilities within the ‘stretch room’ take due care and caution to use equipment safely, sensibly and avoid causing injury to yourself and other users. 

Adult Climbing:                        
Before you climb, we expect you to be able to describe the dangers involved with bouldering and accept the risks involved.                            
You are required to register to say that you understand the information given, that you are prepared to abide by the rules above and that you understand the risks involved in your participation.           
While climbing, the centre expects you to be aware of all other climbing users. Anyone who cannot register as competent, is classed as a novice and will be advised to join a free induction session.
A novice climber is just that! If you are not confident in the use of any climbing or training equipment or technique then do not attempt to use it without the supervision of someone who is competent to do so. 
      
Children (Under 18)                            
All children in the Centre must be supervised by an adult unless they have been assessed by the management and registered for unsupervised climbing.
An adult who has registered at the centre as a competent climber may, at the discretion of the Duty Manager, supervise up to two juniors. Please see the Minors Policy at receptions. 
In addition to the obvious risks of climbing, children on the ground are at particular risk of being seriously injured by falling adult climbers.
Supervising adults are responsible for making sure that children are never directly below climbers. 


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.

First Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*

Phone*
First Unsupervised 18+ Boulderers Date of Birth*
First Unsupervised 18+ Boulderers Signature*
Second Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Second Unsupervised 18+ Boulderers Date of Birth*
Third Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Third Unsupervised 18+ Boulderers Date of Birth*
Fourth Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Fourth Unsupervised 18+ Boulderers Date of Birth*
Fifth Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Fifth Unsupervised 18+ Boulderers Date of Birth*
Sixth Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Sixth Unsupervised 18+ Boulderers Date of Birth*
Seventh Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Seventh Unsupervised 18+ Boulderers Date of Birth*
Eighth Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Eighth Unsupervised 18+ Boulderers Date of Birth*
Ninth Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Ninth Unsupervised 18+ Boulderers Date of Birth*
Tenth Unsupervised 18+ Boulderers Name

First Name*

Middle Name

Last Name*
Tenth Unsupervised 18+ Boulderers Date of Birth*
Unsupervised 18+ Boulderers 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
Check to receive information, news, and discounts by e-mail.
Email me a copy of this document.
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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