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Romford Rock and Boulder

Unsupervised 14/17yrs Consent

Conditions of use Policy

“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 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 a 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.

Unsupervised 14/17yrs Consent

Participation Statement

“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.”

To complete this form, you must be the participant's parent or legally appointed guardian (such as adoptive parents). Other family members or friends must not complete this form.

Today's Date: May 18, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
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

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent / Guardian Information

What is your relationship to the Participant?
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.


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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Have read the above conditions of use policy for Romford Rock and Boulder and understand the policy*
Adventure activities themselves are not completely free from risk. While the chances of serious injury are remote, the chances of minor injury (bruises, bumps and fractures) have to be seen as possible outcomes to much the same extent as normal active play. Do you accept these risks on behalf of the Under 18 named above*
Do you consent to your child registering themselves as an adult and using our facilities without supervision?*
Do you understand that in the interests of safety the Under 18 named above must follow the instructions of the staff at all times. Failure to do so may result in them not being allowed to continue with the activity.*
Do you certify that to the best of my knowledge that the under 18 named above does not suffer from any medical condition which might be adversely affected by participation in activities at Romford Rock and Boulder*

Details of any special needs, medical conditions, allergies or medication
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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