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Acknowledgement of Risk Form

Validity: The Acknowledgement of Risk form is valid for participants wishing to use the bouldering facilities in any centres operated by Avid Climbing Ltd which may also be referred to as Avid, we, us.

Participants: Are those who are climbing, or supervising other participants climbing. Where the participant is a supervise minor, it is the responsibility oif the supervisor to ensure the participant adheres to these conditions of use.

Signatory: The signatory may be the participant or an individual with responsibility for the participant (see below)

Registration: All participants must be registered on our electronic database to use the facilities offered by Avid Climbing Ltd. The registration process requires that the participant or a responsible adult acting on behalf of the participant agrees to this form. Our Privacy Policy can be viewed on our website.

Rules: Avid Climbing ask that all users abide to a core set of rules. Each centre may have its own set of additional rules that will be clearly posted in that cenra and users agree to any such rules as part of the general agreement. Avid Climbing reserves the right to refuse entry to anyone who fails to comply with any safety rules or reasonable requests to adjust their behaviour.

Personal Possessions: Avid Climbing does not accept any responsibility for any accident or loss or damage to personal possessions.

 

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 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
  • 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

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

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.

 

Supervised Climbing

An adult who has registered at the centre, and proved competency, may supervise up to two novice climbers, as long as they are prepared to take full responsibility for the safety of those people. Groups of three or more novices must only be supervised by an instructor holding the relevant valid Mountain Leader Training qualification and insurance or other relevant qualification. All children in the centre must be supervised by an adult unless they have been assessed by the management and registered for unsupervised climbing.

 

Declarations

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

 

First Participant's Name

First Name*

Middle Name

Last Name*

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Third Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Fourth Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Fifth Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Sixth Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Seventh Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Eighth Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Ninth Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Tenth Participant's Name

First Name*

Middle Name

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
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

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 or Guardian's Name

First Name*

Middle Name

Last Name*

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

PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.

Are you over 18 years of age?*
No
Yes
Do you wish to receive any paid 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)*
No
Yes
Do you understand there is a risk of injury involved?*
No
Yes
Have you read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you understand that failure to exercise due care could result in your injury or death?*
No
Yes
Do you understand that the boulder matting does not remove the risk of injury?*
No
Yes
Have you watched and understood the bouldering safety video and understand good practice for use of the bouldering?*
No
Yes
Do you agree to abide by this document and the conditions of use of the climbing centre?*
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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