Loading...

WAIVER, RELEASE OF LIABILITY AND ASSUMPTION OF RISKS AND GYM APPLICATION

IMPORTANT: THIS IS A LEGAL DOCUMENT, BY SIGNING THIS YOU GIVE UP ALL LEGAL RIGHTS TO SUE.

In consideration of my being permitted by On The Rocks Climbing Gym 2008 Ltd. (hereafter referred to as On The Rocks) to climb in its facility, I agree to the following waiver and release. I understand that participation in the sport of rock climbing and the use of an indoor climbing wall includes certain dangers and risks, some of which include:

  • injury sustained in a fall and hitting the wall, projections (permanent or temporary in place), or the floor (including any object or objects resting on the floor)
  • injuries resulting from rope management error and normal rope activity on the premises (including abrasion, entanglement, belaying, rappelling and lowering, and rescue scenarios)
  • injury due to falling climbers or objects
  • cuts and abrasions resulting from bodily contact with the climbing wall
  • failure of harnesses, ropes, slings, carabineers or any other hardware or part of the climbing systems and structures at any of the above mentioned climbing facility.

I further acknowledge that the previous list is not inclusive of all possible risks associated with the use of the On The Rocks facilities, including the climbing wall, and that previous list in no way limits the extent or reach of this waiver. I for my myself, my heirs, executors, administrators, or anyone else who may claim on my behalf, covenant not to sue, and waive, release, and discharge On The Rocks and its officers, employees, instructors, agents, or representatives (hereafter referred to as its “staff”) from any and all claims or liability for personal injury, death, damage to property or loss of any kind of whatsoever nature or kind and howsoever caused, whether arising by reason of the negligence of On The Rocks or its “staff” or otherwise. In consideration of my use of the On The Rocks facilities, I further hereby agree to hold harmless and indemnify On The Rocks and its “staff” for any and all actions, claims, demands, losses, or costs of any nature to any third party resulting from my use of or presence in the On The Rocks facilities. I hereby warrant that I am in good health and know of no medical reason that would preclude my safe use of the On The Rocks facilities. I understand that part of the enjoyment and excitement of using an indoor climbing wall is derived in part from engaging in an inherently risky activity for which I bear all responsibility for the results of my actions. In entering into this contract, I am not relying on any oral, written or visual representations or statements made by On The Rocks or its “staff”, including those in any brochures or printed literature, to induce me to use the facilities. I confirm that I am of the full age of 19 (nineteen) years and that I have read and understand this agreement prior to signing it, and agree that this agreement will be binding upon my heirs, next of kin, executors, administrators, and successors. I agree that this agreement shall be governed by the laws of British Columbia, Canada.

In witness whereof, this agreement is duly executed at the premise of On The Rocks Climbing Gym 2008 Ltd, 1980-B North Island Highway, Campbell River. B.C.

Signature of Climber or Parent/Guardian (if under 19 yrs)   

Date June 16, 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*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 19 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 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! and  Rock Gym Pro