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Gravity Climbing Centre

JUNIOR (14yrs - 17yrs)

ACKNOWLEDGEMENT OF RISK FORM

ACKNOWLEDGEMENT OF RISK FORM

Unsupervised Climbing Participation Statement:

“All climbing and bouldering activities have a risk of serious injury or death. Participants must be aware of and accept that even if they follow all good practice there may still be the risk of accident and injury. It is the responsibility of the participant to adhere to the conditions of use”

It is important that you understand this document. There is inherent risk involved with indoor bouldering and associated activities. By signing this form you are stating that you understand that these risks cannot be completely removed. If you do not understand any of the terminology or content, ask a member of staff.

Participants should consider having medical/personal accident insurance before undertaking this activity.

To be completed by the Parent or Legal Guardian on behalf of the Junior Unsupervised Climber

By initialing below I confirm that both I and the junior named below have read about and understood the risks involved when climbing at Gravity Climbing Centre.


CONDITIONS OF USE:

General Safety:

  • Report to reception on each visit.
  • You must exercise care, common sense and self-preservation at all times.
  • Report any problems with the walls, holds, equipment or other climbers' behaviour to a member of staff immediately.
  • When moving around the centre, be aware of climbers and their ‘landing zones’ and avoid obstructing them. Climbers may not always be visible; wall features like arches, corners and overhangs may obstruct your view. Exercise caution while moving around the climbing area. Never sit, stand or walk directly underneath someone who is climbing. Being landed on may result in significant injury to all parties involved.
  • Do not distract anyone who is climbing.
  • Please make yourself aware of the location of the fire exits in the building.

Bouldering:

  • Climb within your capabilities. Climbing beyond your capabilities is likely to result in a fall. Any fall may result in an injury despite the safety systems in place. You must make your own assessment of the risks whenever you climb.
  • Descend by downclimbing whenever possible. If this is not possible, use a controlled/planned jump - It is your responsibility to ensure that you can climb down or land safely; don’t climb into a situation that you cannot safely get out of.
  • THE SOFT MATTING DOES NOT REMOVE THE RISK OF INJURY. Injuries can still occur even after a controlled/ planned jump but are more likely after an uncontrolled fall. You should always do your utmost to avoid the risk of uncontrolled falls. This includes paying attention to how you will land and always assessing the risk of each climb that you undertake.
  • Always be aware of people climbing above and around you. Never climb directly above or below another climber.
  • Problems finish on the last obvious hold. Do not grab or touch the top of the wall.
  • Keep the mat free of objects. Objects such as mobile phones, water bottles, clothing, shoes and bags should not be brought onto the mats.
  • Participants must be aware and accept that climbing holds can spin or break.
  • Participants must understand that climbing while pregnant can increase the risk posed to mother and unborn child.
  • Please remove all jewellery before climbing. Remove anything from pockets that could hurt you when landing.

Competitions and ‘competition style’ bouldering:

  • Areas of the centre may be laid out for competitions or competition style bouldering. It may be more difficult to descend by downclimbing due to the absence of easier circuits. Consider this before climbing to the top.
  • Be aware that dynamic climbing and uncontrolled falls may lead to greater risk of injury.
  • Volumes on the walls are designed to enhance the quality of climbing but you must be aware of and accept that when climbing above them there is an additional risk of falling onto them.

Training equipment:

  • You use the training equipment at your own risk.
  • If you are unsure how to safely use any piece of training equipment, ask a member of staff. 

Our Duty of Care

The conditions of use of the climbing centre 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 may ask you to leave.

Your Duty of Care

You have a duty of care to act responsibly towards the other users of the centre, follow good practice and abide by the conditions of use of the centre. Statements of ‘Good Practice’ are posted around the centre adjacent to the relevant facilities. These describe the accepted methods of use of equipment and climbing areas.

Unsupervised Climbing

Before you can use the bouldering walls without supervision, you must be aware of the safe usage of bouldering and know how to use the bouldering walls safely. You are required to register to say that you know how to boulder and that you are prepared to abide by the rules and that you understand the risks involved in your participation. Anyone who is not competent to climb unsupervised must be supervised by a competent person.

Supervised Climbing

If you cannot climb unsupervised, you must be supervised by a Gravity staff member or an instructor holding the relevant, valid Mountain Leader Training qualification and insurance or other relevant qualification. If you are aged under 14 you may be also supervised by a parent/guardian who is an adult registered member of Gravity.

To be completed by the Parent or Legal Guardian on behalf of the Junior Unsupervised Climber

By initialing below I confirm that both I and the junior named below have read and understood the conditions of use at Gravity Climbing Centre.


Declarations:

I certify that to the best of my knowledge, the junior climber named does not suffer from a medical condition that might have the effect of making it more likely that they might be involved in an accident that could result in injury to them or others.

I also confirm that the above information is correct and if any information changes I will notify the centre.

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.

To be completed by the Parent or Legal Guardian on behalf of the Junior Unsupervised Climber

Today's Date: May 12, 2024



Please select who will be participating...
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First Parent/ Guardian's Name

First Name*

Last Name*

Phone*
First Parent/ Guardian's Age Acknowledgment*
First Parent/ Guardian's Date of Birth*
I certify that I am 18 years of age or older
First Parent/ Guardian's Signature*
Parent/ Guardian'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*
To be completed by the Parent/ Guardian
Is the young climber aged between 14 and 17yrs?*
No
Yes
Does the junior climber require any training or instruction before proceeding to use the bouldering wall facilities, including such equipment as has been hired to you for your use? (If yes, please ensure you have informed a member of staff)
Do you the parent/ guardian and the Junior Climber understand there is a risk of injury involved?*
Have you the parent/ guardian and the junior climber read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering and do you agree to abide by this document and the conditions of use of the climbing centre?*
Do you the parent/ guardian and the junior climber understand that failure to exercise due care could result in injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you the parent/ guardian and the junior climber watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
Do you consent to your child receiving first aid or emergency medical treatment if necessary?*

Medical Considerations*

Please let us know if there is anything we should be aware of here- e.g. allergies, medications

Climber's Prior Experience

Unless you are attending an Induction, our minimum level of recent experience to register as an Unsupervised Junior Climber is to have climbed at least 6 times in the past 12 months, including bouldering at an indoor bouldering wall. If you have not done this, but you have other climbing experience and wish to climb unsupervised, please talk to a member of staff before registering

Please indicate the nature of the Junior climber's experience*

Please provide details of experience, unless attending induction e.g. where you normally climb?
How many times have you climbed in the past 12 months? *
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. IF YOU HAVE NOT READ ALL OF THE ABOVE INFORMATION PLEASE DO SO NOW BEFORE SIGNING.


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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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