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Outdoor Participant Agreement

Rev. 6/16/20

In consideration of the services of Stone Age Climbing Gym, Inc., their officers, agents, employees, stockholders, and all other persons or entities associated with those businesses (hereinafter collectively referred to as "SACG", I agree as follows:

Although SACG has taken reasonable steps to provide you with appropriate equipment and skilled guides so you can enjoy an activity for which you may not be skilled, we wish to remind you this activity is not without risk.  Certain risks cannot be eliminated without destroying the unique character of this activity.  The same elements that contribute to the unique character of this activity can be causes of loss of or damage to your equipment, accidental injury or illness, or, in extreme cases, permanent trauma or death.  We do not want to frighten you or reduce your enthusiasm for this activity, but we do think it is important for you to know in advance what to expect and to be informed of the inherent risks.  The following describes some, but not all, of those risks:

The hazards of walking on uneven terrain and slips and falls; being struck by rockfall or other objects dislodged or thrown from above; the use of climbing ropes and equipment; the forces of nature, including lightning and rapid weather changes; the risks of falling off the rock; the risks of exposure to insect bites;  potential exposure to communicable disease (including but not limited to coronavirus/COVID-19, other viruses, bacteria, and all other infectious pathogens and disease vectors);  the risk of cold including hypothermia; my own physical condition, and the physical exertion associated with this activity.

Furthermore, SACG guides have difficult jobs to perform.  They seek safety, but they are not infallible.  They might be unaware of a participant's fitness or abilities.  They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction.

I am aware that this activity entails risks of injury or death to me.  I understand that the description of these risks is not complete and that other unknown or unanticipated risks may result in injury or death.  I agree to assume responsibility for the risks identified herein and those risks not specifically identified.  My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of the risks.

I certify that I am fully capable of participating in this activity.  Therefore, I assume full responsibility for myself, including my minor children, for bodily injury, death, and loss of personal property and expenses thereof as a result of those inherent risks and dangers and of my negligence in participating in this activity.

I have read, understood, and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative, estate and for all members of my family, including any and all minors accompanying me.  I acknowledge I am not relying on any oral, written, or visual representations or statements made by S.A.C.G. including those made in its brochures or other promotional material, to induce me to participate in this activity.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Preferred Pronoun

Let us know if you have a preferred pronoun.
Parent or Guardian's Email Address

Email*

Confirm Email*
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 Preferred Pronoun

Let us know if you have a preferred pronoun.
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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