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Unsupervised Bouldering

Participation Statement
“The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.”

Declaration of fitness: I certify that to the best of my knowledge, I do not suffer from a medical condition which might have the effectof making it more likely that I be involved in an accident which could result in injury to myself or others.

Declaration of fact: I also confirm that the above information is correct and that if any information changes I will notify Fenrock climbing centre

Today's Date: June 18, 2021

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
Participant'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

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you find out about Fenrock?
How did you find out about Fenrock?*
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Details of any medical conditions or allergies, including medication

Conditions of Registration

Once you have read the 'Bouldering Conditions of Use and Rules' of the climbing centre, you must answer the following questions by checking either "YES" or "NO" in the box provided then sign the decleration at the bottom of the form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised. 

Are you over 18 years of age?*
No
Yes
Have you read and understood the 'Conditions of Use and Rules of the centre?*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you have any questions regarding the application of the Conditions of Use or the Rules?*
No
Yes
Do you understand that the matting under the bouldering walls cannot remove the risk of injury?*
No
Yes
Do you understand that the use of the gym is at your own risk?*
No
Yes
Do you agree to abide by the Conditions of Use and Rules of the climbing centre?*
No
Yes
Do you understand that Fenrock reserve the right to remove any person that does not abide by these rules?*
No
Yes
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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