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Unsupervised Junior Registration

This form should only be filled in by a Parent or Legal Guardian of the named junior below. It should not be filled in by anyone U18

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 climbing centres and associated activities. By signing this form you are stating 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 to clarify.

 

Conditions of Use

General Safety

Report to reception on each visit before you climb.

  • Report to 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. This is particularly important with broken or spinning holds.
  • Be aware of the other climbers around you and how your actions will affect them.
  • Never stand directly underneath someone who is climbing.
  • If you have children, you must keep them under control and supervise them directly at all times. Be close enough to affect or control the child’s behaviour at all times.
  • Please make yourself aware of the location of the fire exits in the building and fire assembly points.

As a user of this climbing wall, you must be aware of and accept the following:

  • 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
  • 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. You must make your own assessment of the risks whenever you climb.
  • Participants must understand that climbing while pregnant can increase the risk posed to mother and unborn child.
  • Participants must be aware and accept that climbing holds can spin or break
  • You must do everything reasonable and practical to avoid endangering yourself or others.
  • You have to be aware of and adhere to the safety rules of the centre at all times.
  • Stand back from the climbing walls unless you are spotting a climber.
  • Please empty your pockets and remove all jewellery before climbing.

Bouldering

  • Whenever possible downclimb, or 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.
  • Never climb directly above or below another climber.
  • Top out (climb over the top) in designated areas only, if unsure climb down.
  • Remove anything from pockets that could hurt you when landing.
  • Always be aware of people climbing above and around you.

Training Area and Gym

  • Under 18's are not allowed to use the gym equipment or training area. If you are part of a climbing squad or Team GB please speak to reception for access to the training areas.

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 be doing 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.

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.


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.

Parent(s) or Court-Appointed Legal Guardian(s) must sign below and agree that they and the minor are subject to all the terms of this document, as set forth above.

Today's Date: January 28, 2023



Please select who will be participating...
Minor
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First Parent or Guardian Name

First Name*

Middle Name

Last Name*

Phone*
First Parent or Guardian Date of Birth*
First Parent or Guardian Signature*
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

Emergency Contact's Name*

Emergency Contact's Phone Number*
Disclaimer - Parent or Legal Guardian (tick to confirm)
I (parent or legal guardian) certify that the named child does not suffer from a medical condition which might have the effect of making it more likely that they be involved in an accident which could result in injury to themselves or others
I certify that both parent/legal guardian and child have read, understood and agree to abide by the Terms and Conditions of Use of the Centre.
I certify that both parent and child have watched the Stronghold bouldering SAFETY VIDEO
I agree that Unsupervised Bouldering is exactly that. There will be no one supervising the child once they have registered?
I, the parent or legal guardian of this child, give consent for them to climb unsupervised at Stronghold?
I, the parent or legal guardian of this child, understand that I DO NOT need to be present for the registration process, however the child will still need to successfully complete a safety questionnaire at reception before being allowed to climb unsupervised
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*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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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