Replace this text with your company's privacy policy.

Loading...

Above Adventure

Registration and Acknowledgement of Risk Form

Adult (18+) Unsupervised Bouldering

 



Review Privacy Policy

This Acknowledgement of Risk Form is for unsupervised adult (18+) bouldering at Above Adventure. If you are unsure of any aspect of the form you should not fill this in online. Please come into the centre and fill it in where a staff member can answer any questions or clarify any points that may be unclear. If you have any impairments that can affect your filling in of the form or climbing, please fill in the form within the centre with staff support.

 

PARTICIPATION STATEMENT

“Mountaineering Scotland recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.”

It is important that you understand this document. There are inherent risks involved with climbing centres and associated activities. By signing this form, you are stating that you understand these risks cannot be completely removed. If you do not understand any of the terminology or content, please 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 wall, equipment or other climber’s behaviour to a member of staff immediately. This is particularly important with broken or spinning holds.
  • Be aware of other climbers around you and how your actions will affect them.
  • Do not distract people while they are climbing.
  • 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.
  • Please make yourself aware of the location of the fire exits in the building and the fire assembly point.
  • Volumes on the wall are designed to enhance the quality of climbing but you must be aware 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 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 must 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.
  • Adhere to all rules relating to protecting customers and staff from Covid-19 infection.

BOULDERING

  • Downclimb whenever possible. 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.
  • Remove anything from pockets that could hurt you when landing.
  • Always be aware of people climbing above and around you.
  • Keep the mat free of objects and obstructions like bags, clothing, chalk bags, brushes, bottles, keys etc.
  • Spotting involves helping someone to control their fall, not trying to catch them. Do not attempt to spot someone unless you feel confident to do it properly. Make sure the climber wants you to spot them.

THE SOFT MATTING DOES NOT REDUCE 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 rules 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 rules 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 rules of bouldering and know how to use the bouldering walls safely. You are required to register to say that you know how to boulder, 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 (18+) who has registered at the centre and proved competency, may supervise up to 2 juniors under the age of 16, as long as they are prepared to take full responsibility for the safety of these people. Groups of three or more novices must only be supervised by an instructor holding the relevant valid Mountain Training qualification and insurance. All children in the centre must be supervised by an adult unless they have been assessed by 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 certify that the above information is correct, and that if any information changes, I will notify the centre.

I Agree
 

SIGNATORY AGREEMENT

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. 

I Agree

Today's Date: June 30, 2025 

 


First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
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*
Date of Birth
Parent or Guardian's Information
Gender*

PLEASE ANSWER "YES" OR "NO" TO THE FOLLOWING QUESTIONS

Are you aged 16 or over?*
Do you wish to receive any paid training or instruction before proceeding to use the bouldering/centre facilities, including such equipment as has been hired to you for your use? (If yes please ensure you have informed a member of staff)*
Do you understand there is a risk of injury involved?*
Have you read and understood this Acknowledgement of Risk and Conditions of Use and rules of the centre for bouldering? (If you have any questions please ensure you ask a member of staff)*
Do you understand that failure to exercise due care could result in your injury or death?*
Do you understand that the boulder matting does not remove the risk of injury?*
Have you watched and understood the bouldering safety video and understand good practice for the use of the bouldering?*
Do you agree to abide by this document and the conditions of use of the centre?*
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