Loading...

Lighthouse Climbing

44 Pasir Panjang Road

Block B-02

Singapore 118504

User Terms and Conditions

Lighthouse Climbing Pte. Ltd. Release of Liability and Assumption of Risk

For the purpose of this document:

“Activities” means any and all activities associated with bouldering, climbing, slacklining and the use of climbing equipment.

“Lighthouse” refers to Lighthouse Climbing Pte. Ltd. and any of its employees, directors, shareholders, agents, volunteers, representatives, assigns, participants any other persons acting in any capacity on its behalf.

IN SIGNING THIS WAIVER, I AGREE THAT I HAVE READ, UNDERSTOOD AND ACCEPTED THE TERMS AND CONDITIONS STATED IN THIS WAIVER. I HEREBY WAIVE THE RIGHT TO BRING ANY COURT ACTION OR TO MAKE A CLAIM OF ANY NATURE FOR ANY ALLEGED LOSS OR COMPENSATION AGAINST LIGHTHOUSE.

ACKNOWLEDGEMENT:

I acknowledge that climbing, and other similar activities provided by Lighthouse, involves significant amounts of risks.

These risks can come in the form of, but not limited to, equipment failure, human error, uncontrolled falling and collision with objects, floors, walls and other people which may cause or contribute to death, physical injuries and psychological injuries; and because of the risks set out above, in participating in the Activities, I will be exposed to the risk of serious personal injury or death.

RELEASE, ASSUMPTION OF RISK AND RESPONSIBILITY

I, on behalf of myself, my heirs, representatives, successors, executors, administrators and assigns, hereby release Lighthouse involved in my participation in the Activities at Lighthouse from any suit, demand, action or claim for compensation whether for personal injury, damage to property, death or accident of any kind arising from my participation, whether such participation is supervised or unsupervised.

DECLARATION

I am physically and mentally capable of participating in Activities at Lighthouse.

I declare that all information given in this form is true and correct to the best of my knowledge and belief.

I grant Lighthouse the right to take photographs and videos of me and my property in connection with Lighthouse. I authorise Lighthouse to use the photographs/videos in part or in whole, without restriction anywhere, in any medium, for any purpose and altered in any way. I also agree Lighthouse may use photographs/videos of me with or without my name and for any lawful purpose, including, but not limited to, publicity, illustration and advertising.

I agree to abide by the rules and regulations at the facility.

I am aware that this waiver is ongoing and will apply to all future occasions I participate in Activities at Lighthouse Climbing Pte. Ltd. I further acknowledge that this document is a legally binding agreement and may be relied upon in any proceedings by me, my heirs, executors and assigns. I am aged 18 years or over and am legally competent to sign this agreement OR My parent or legal guardian has signed this form to consent to my participation.

Lighthouse Climbing Facility Rules

  • Climbing is inherently dangerous. All participants must sign a liability waiver.
  • Children under the age of 13 must be supervised by adults at all times.
  • Minimum age of 3 is required to use our facilities.
  • Do not walk, sit, stand or climb underneath a climber while they're bouldering.
  • Keep chalk bags, water bottles, brushes or any other hard objects away from the padded areas which are the fall zones.
  • Keep your belongings in the storage area provided.
  • Leave your footwear at the shoe racks provided.
  • No food or drinks are allowed in the climbing areas.
  • Anyone using the Lighthouse facility is expected to respect other users and conduct themselves properly. Any person deemed unsafe or behaving in a disorderly fashion will be asked to leave.
  • Lighthouse reserves the right to revoke climbing privileges at any time.

The terms and conditions herein (as amended from time to time) constitutes the entire agreement between the Participant and Lighthouse regarding the Participant’s use of the Facility and supersedes all previous agreements, understandings and arrangements, written or oral, between the Participant and Lighthouse in relation to such matters.

Today's Date: April 29, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Gender
Gender*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Gender
Gender*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Gender
Gender*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Gender
Gender*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Gender
Gender*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Gender
Gender*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Gender
Gender*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Gender
Gender*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Gender
Gender*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Gender
Gender*
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*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Gender
Gender*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!