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Above Adventure
Registration and Acknowledgement of Risk Form

 

This Acknowledgement of Risk Form is for adults (18+) wishing to supervise under 16’s bouldering at Above Adventure and should only be completed by a parent or guardian. 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.

SUPERVISION OF NOVICE MINORS

Where they agree to take responsibility for the supervision of all activities within the centre, adult registered users may sign in a total of two under 16’s on the following conditions:

  • Supervising members owe a higher duty of care to under 16’s than to adults of equal competence
  • Under 16’s must remain under the supervising member’s constant supervision at all times whilst on the premises
  • Under 16’s must not engage in any climbing activity beyond their level of competence, ability, or maturity, nor that of the adult supervising
  • Supervising members must have the parent/guardian’s consent for any under 16 they are supervising

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 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.
  • We advise that children should not be allowed to climb to the top of the bouldering wall. The children’s circuit has been specifically set with shorter problems.
  • 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 the above information is correct, and that if any information changes, I will notify the centre.

I Agree
 

I will take FULL responsibility for the below named climbers each and every time they are at the centre under my care.

I understand that while supervising under 16’s I must be with them at all times and take all reasonable actions to maintain safe climbing practices, ensuring the Conditions of Use of the Centre are adhered to at all times.

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: May 28, 2022 


First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Third Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Fourth Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Fifth Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Sixth Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Seventh Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Eighth Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Ninth Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
Tenth Participant's Name

First Name*

Middle Name

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

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
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

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 Information

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

Is/Are the above named minors under the age of 16 years?*
Do you agree to keep these under 16's under your direct supervision at all times when at the centre together?*
Are you the parent or guardian, or have you been given parental consent for all the above named under 16's to come climbing?*
Have you completed the Acknowledgement of Risk form and registered yourself as a user of the centre?*
Have you read and understood the participation statement at the top of this form?*
Do you agree to ensure that under 16's under your supervision adhere to our conditions of use and rules at all times?*
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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