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The following information will be used to complete a document that you will read and then sign. 

Minor in this document is define as any person under the age of 18 years old

IMPORTANT, PLEASE READ THIS FIRST

I understand and acknowledge the nature of the sport that I / my child or ward will be participating involves risks and self-judgement. I hereby certify that I am / my child or ward is physically and mentally fit and I do/ my child or ward does not suffer from any illness, disorders or chronic diseases.

 

DECLARATION OF INDEMNITY:

I hereby undertake, at all times, to indemnify, defend and hold harmless T-Hall.sg, its management, officers, agents and employees from any and all liability, loss, damage and expenses (including attorney fees) they may suffer as the result of claims, demands, costs or judgments which may be made or instituted against them or any of them by reason of personal injury (including death) to any person or damage to property because of, arising out of, or connected with the course, activities, programmes or my participation therein. It is understood and agreed that such indemnity shall survive the termination of this agreement. 

I agree to abide by all rules and regulations establish by T-Hall.sg on the usage of equipment, facilities, services and all other amendments or alterations thereto including all signs, posters, billboards and all written and verbal instructions notified from time to time.

I authorise T-Hall.sg and any other advertising or marketing agency on behalf of T-Hall.sg to take, use and/or reproduce photographs, films and/or digital media of me during the usage of the facilities and/or services for any purpose deemed suitable by T-Hall.sg.

I acknowledge that T-Hall.sg shall only be responsible for the acts of its employees or any other entity controlled by T-Hall.sg on the management, control, supervision, directions and/or operations of the facilities and/or services and shall not be liable for any acts done without instructions/supervision/authorisation from T-Hall.sg.

I declare that all information given in this form is true and correct to the best of my knowledge and belief and note that the data collected above will only be used by T-Hall.sg in accordance with their Personal Data Protection Policies.

I acknowledge that I have read and understood all the matters referred to, in this agreement herein contained.

 

PARENT’S/GUARDIAN’S CONSENT FOR PARTICIPANT BELOW 18 YEARS OF AGE:

I hereby allow my child or ward listed above to climb in the premise of T-Hall.sg. While I understand that every effort will be taken by the owner to ensure the safety of my child or ward, I undertake to accept that no liability will be borne by T-Hall.sg, its management, crews, staffs and organisers for any personal injury or loss sustained by my child or ward during the activities, with the full understanding that all necessary precautions will be taken to ensure the safety of all participants and therefore release T-Hall, its management, crews, staffs and organisers from all or any liability of any nature which may arise from my *child or ward’s participation in the activities.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Parent / Guardian's / Emergency Contact Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last 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.


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 / Guardian's / Emergency Contact Name

First Name*

Last Name*

Relationship*

Phone*
Parent / Guardian's / Emergency Contact Date of Birth*
Parent / Guardian's / Emergency Contact Climbing Declaration
a beginner with little or no climbing experience
a safe top rope belayer/ climber without SNCS certification
a safe lead belayer/ climber without SNCS certification
* SNCS Level 1 Certified (fill up the next box)
* SNCS Level 2 Certified (fill up the next box)
* SNCS Level 3 Certified (fill up the next box)
* Others (fill up the next box)

* Others/Certificate Number
Parent / Guardian's / Emergency Contact 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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