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CLIMBING WALL USE & LIABILITY WAIVER

#108 33, Mckenzie crescent

Red Deer County, T4S 2H4

WARRANTY AND RELEASE: Read Carefully Before Signing & Initialing

I understand that I have the right to obtain independent legal advice prior to signing this form. In consideration of my being permitted to use the climbing wall in this facility, I agree to the following waiver and release. I also agree to follow posted guidelines and staff instructions. I acknowledge the inherent risks in the rock climbing

By my signature below, I warrant to Trailhead Climbing & Fitness Ltd. that I am physically fit and know of no medical or health reasons why I should not participate in its activities. I also understand and agree that in consideration of my using the equipment and facilities of Trailhead Climbing & Fitness Ltd., there are inherent risks that may occur including those associated with physical injury or illness and accidents resulting from falls, equipment failures, decision making, and
risks inherent in the sport. I understand that this activity may require special conditioning, specialized skills and equipment.

I understand and agree that any equipment that I may rent or borrow from Trailhead Climbing & Fitness Ltd. during the use of the facility, I use at my own risk and it is expressly understood and agreed that Trailhead Climbing & Fitness Ltd. shall not be liable for any damage or injury resulting from the use of such equipment.

I will hold Trailhead Climbing & Fitness Ltd., its officers, employees and agents harmless from any and all liability, actions, cause of action, claims and demands of every kind whatsoever which may rise from or in connection with my use of equipment and facilities, whether or not such use was recommended or supervised by the Trailhead Climbing & Fitness Ltd. staff. I agree to abide by all facility rules.

Today's Date:May 28, 2022

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*
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Emergency Contact

Emergency Contact's 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.
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.


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