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Movement Climbing, Yoga & Fitness


Auto Belay Rules and Assumption of Risk



I recognize that there are significant elements of risk associated with the sport of rock climbing, including, but not limited to, injury or death, and I understand that no amount of care, caution, instruction, or expertise can eliminate these risks.  The use of an auto belay also does not eliminate these risks and, in some circumstances, may enhance them. 

I am fully aware of the significant risks of climbing with an auto belay. Risks include, but are not limited to: 

1. Failure to properly attach the auto belay carabiner to the harness resulting in a ground fall including: 


  • failure to clip the auto belay carabiner to the correct harness attachment point. 
  • failure to ensure the auto belay carabiner is fully closed. 
  • failure to remember to attach the auto belay carabiner to the harness and climb with no protection. 

2. Entanglement and / or failure of the auto belay line to retract. 

3. Failure of the line or carabiner connection to the auto belay. 

4. Failure of the auto belay device to brake or slow descent. 

5. Taking a swinging fall and striking the wall, a hold or another climber. 

6. Landing on or being landed on by a descending climber. 


I have read and understand all the Movement (“Climbing Gym”) rules, and I agree to abide by them.  In addition, I agree to abide by the following auto belay and speed wall rules and agree to be solely responsible for my failure to adhere to any of the following rules: 

1. Use of the speed wall and/or auto belay is limited to designated events and by reservation only. Only Climbing Gym staff may unlock auto belays. See front desk with questions or assistance. 

2. Auto belay users must be supervised at all times, either by a Climbing Gym staff or by an individual who has completed the Speed Wall and Auto Belay Training (age limitations apply) and has been specifically authorized by Climbing Gym staff. Self-supervision is NOT permitted. 


 

3. The auto belay supervisor must perform a safety check prior to the climber leaving the ground for each climb. This check must be repeated for each climb, regardless of whether the climber has unclipped or not from the last climb. 

4. Auto belay users must range in weight from 25-310lbs lbs per manufacturer guidelines. 

5. I understand that if I breach any rules my access may be permanently revoked. I understand that Climbing Gym is not responsible for enforcing any climbing rules in the facility. 

6.  With each climb:

  • Make sure your harness is properly fitted and secured. 
  • Pull down on webbing line to check for proper tension and webbing retraction. 
  • Connect the auto belay’s carabiner to the belay loop on the harness. Ensure that the carabiner gate is fully closed, and nothing is obstructing the gate. 
  • A final inspection of the climber’s harness, carabiner and attachment point must be completed by the designated auto belay supervisor. Climber’s may not self-supervise or start to climb until the supervisor has performed the final check. 
  • If the auto belay line fails to retract during climbing, stop climbing immediately and request assistance. 
  • Always climb underneath the auto belay. Never climb alongside or above the auto belay as a swinging or free fall will occur. Never start your descent from above the auto belay. 
  • At the top look down to ensure the landing zone and descent path are free of people and obstructions. 
  • Always descend feet first, look below you, and prepare for landing. Once you are done climbing, clip the auto belay carabiner back into the anchor point on the wall.   

 

I have read, understand and signed the Movement Climbing, Yoga & Fitness Waiver, Release of Liability, and Assumption of Risks agreement and / or Assumption of Risks and Indemnification agreement.

THIS AGREEMENT MATERIALLY LIMITS YOUR LEGAL RIGHTS. DO NOT SIGN IT UNLESS YOU AGREE TO BE BOUND BY ITS TERMS.  I HAVE CAREFULLY READ ALL PAGES OF THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.  I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE ON THE DATE HEREOF. 

Today's Date: May 4, 2024



First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
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*
TO BE SIGNED IF PARTICIPANT IS A MINOR I represent that I am the parent or legal guardian of the above individual (“Participant”) and I further represent that I am executing this assumption of risk agreement on behalf of myself, individually, and on behalf of Participant. I understand that I am electing to allow Participant to participate in Speed Climbing and / or use an Auto Belay. I understand that speed climbing involves climbing a designated climbing route as quickly as possible, racing against another climber, the timer, or both. A speed climber may use an auto belay device during their climb. The auto belay line is clipped to the climber’s harness, retracts as the climber ascends and slows their descent when they fall or finish the climb. I understand that an auto belay does not eliminate the significant risks of climbing and that the auto belay carries its own inherent risks.


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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