WARNING: Any activity or sport associated with a bouldering area, as well as with equipment and related physical conditioning regimes (hereinafter called "activities"), involves elements of considerable risk. Although we have taken responsible steps to provide you with appropriate instructions and / or qualified instructors to enable you to enjoy an activity for which you may not be skilled, we would like to remind you that this activity does is not without risks. Certain risks cannot be eliminated without destroying the uniqueness of the activity. The elements that make this activity unique can cause the loss or damage of your equipment, or accidental injury, illness, or in extreme cases, permanent trauma or death. We don't want to scare you or reduce your enthusiasm for the activity, but we believe it is important that you know ahead of time what to expect and that you are warned of the inherent risks.
I acknowledge that the following describe some, but not all, of the risks of indoor climbing and physical training:
1. Painful slipping, tripping, falling, or crashing when using facilities or equipment, climbing walls, landing pits, floors under climbing areas, training areas, sanitary facilities or steps;
2. Misuse of equipment or facilities, or equipment failures;
3. Unexpected falls due to improper positioning, a poorly performed parade or due to an unexpected loss of control;
4. My health, physical strength, coordination, sense of balance and ability to follow or give directions during climbing or training may not be enough to allow me to practice in complete safety indoor climbing sport;
5. Fatigue, chills and / or dizziness, which can reduce my / our reaction time and increase the risk of an accident;
6. Abrasions caused by equipment or structures;
7. The presence, actions or falls of other participants.
I understand that the description of these risks is not complete and that other unknown or unforeseen risks may lead to injury, illness or death.
I also undertake to play an active role in the management of these risks, by adopting a preventive attitude towards me, towards those who accompany me as well as towards other people who participate in activities.
Health and physical condition
I certify that I am in good physical condition and that I have no personal health problems preventing me from participating in the activities of the rock climbing gym Café Bloc.
I agree to mention any physical or mental condition that could affect my safety or that of others.
I understand and accept that it is strictly forbidden at Café Bloc to do
bouldering or any other form of training under the influence of alcohol and
that the consumption of alcohol at Café Bloc is authorized only in the café
area. Therefore, I understand also that it is forbidden to consume alcohol in
the climbing areas, on the mattresses and in the training area.
Furthermore, I understand that it is strictly forbidden to use drugs or be under the
influence of drugs at Café Bloc.
I accept the risks of bodily harm, accidents and / or diseases, including in particular but not limited to sprains, muscle and / or ligament tears, cracks or fractures, eye conditions, cuts, injuries, scrapes, abrasions and / or bruises, dehydration, lack of oxygen (anoxia), exposure and / or altitude sickness, trauma to the head, neck and / or spine , lung problems, nervous shock, paralysis and / or death.
I ASSUME FULL RESPONSIBILITY FOR THE CHOICE OF A PERSON RESPONSIBLE FOR PREVENTING SUCH RISKS.
Commitment to comply with rules and regulations
I confirm that I understand and agree to abide by the rules and regulations of the rock climbing gym Café Bloc, a copy of which is posted in the gym. (A printed copy of the regulations is available on request).
The rock climbing gym Café Bloc and its representatives reserve the right to refuse or suspend the right of access to the center to any climber who demonstrates a dangerous attitude towards indoor climbing safety at the rock climbing gym Café Bloc, or who does not respect the rules and regulations of the rock climbing gym Café Bloc.
Wearing a helmet
I understand that wearing a climbing helmet can reduce the risk of head injury and I am personally responsible for my decision whether or not to wear a helmet. It is my responsibility to provide my own helmet.
Children climbers and visitors
I affirm that the child for whom I sign the form is indeed my child, my biological child or that I am the legal guardian. I agree to abide by the rules that I have read and understood when I am with a child at the rock climbing gym Café Bloc as a climber or guide.
Photographs and advertising material
I authorize the Café Bloc Climbing Center to use the participant's photographs and video material for advertising purposes without any compensation whatsoever.
Orientation and fall tests
I understand that, for everyone's safety, I must participate in a safety orientation before starting my activity.
Affix your initials
I understand that I must respect my body and my skills when choosing the height to which I climb.
Affix your initials
''I acknowledge having read and understood the recognition and acceptance of the above risks and responsibilities, I FREELY AND FULLY ACCEPT TO ASSUME ALL THE RISKS AND DANGERS MENTIONED ABOVE AND I COMMIT TO RESPECT THE RULES AND REGULATIONS OF THE ROCK CLIMBING GYM CAFÉ BLOC.''
Dated: January 30, 2023