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Participant agreement

WARNING

The practice of any activity or sport associated with a climbing wall, bouldering area, and related equipment and fitness regimens (hereinafter, an "Activity") at any of the facilities operated by 3155790 Canada Inc. and its related companies (collectively "we" or "Allez Up") involves elements of considerable risk. While we have taken responsible steps to provide you with appropriate instruction and/or competent instructors to enable you to enjoy an activity that you may not be adept at, we wish to remind you that this activity is not without risk. Indeed, some risks cannot be eliminated without destroying the unique character of the activity. The elements that make this activity unique can result in loss or damage to your equipment, accidental injury, illness or, in extreme cases, permanent injury or death. We don't want to scare you off or reduce your enthusiasm for the activity, but we do believe it is important that you know in advance what to expect and that you are warned of the inherent risks. 

ACKNOWLEDGMENT OF RISKS

I ACKNOWLEDGE THAT THE FOLLOWING DESCRIBES SOME, NOT ALL, OF THE RISKS OF INDOOR CLIMBING: 

  • Slipping, tripping, falling, or painful crashing while using facilities or equipment, climbing walls, climbing bouldering areas, landing pits, floors under climbing areas, training areas, bathroom facilities, or steps. 
  • Risks associated with crossing, ascending or descending while climbing. 
  • Misuse of equipment or facilities, or equipment failures. 
  • My health, physical strength, coordination, sense of balance, and ability to follow or give directions while climbing, belaying, or training may not be sufficient to allow me to safely participate in the sport of indoor climbing. 
  • Fatigue, shivering and/or dizziness, which may reduce my/our reaction time and increase the risk of an accident. 
  • Abrasions caused by ropes and equipment or by becoming entangled in them. 
  • I understand that climbing, due to the nature of the walls, holds and bindings present, may result in premature wear and/or tears to my clothing, shoes or other equipment. 
  • The presence, actions or falls of other participants, whether or not they are accredited climbers.
  • I understand that the description of these risks is not complete and that other unknown or unforeseen risks may result in injury, illness or death. 



​​​HEALTH AND PHYSICAL CONDITION

I certify that I am in good physical condition and have no personal health problems that prevent me from participating in Allez Up activities.

ASSUMPTION OF RISK

I accept the risk of bodily injury, accident and/or illness, including but not limited to sprains, muscle and/or ligament tears, cracks or fractures, eye conditions, cuts, wounds, scrapes, abrasions and/or bruises, dehydration, lack of oxygen (anoxia), exposure and/or altitude sickness, trauma to the head, neck and/or spine, nerve shock, paralysis and/or death. 

I ASSUME FULL RESPONSIBILITY FOR CHOOSING A RESPONSIBLE PERSON TO BELAY ME.

I understand that my insurer may inadvertently, negligently, or for other reasons, drop the rope, fail to check my harness and knot, or do other things that could result in my injury or death. I acknowledge that holding a certification from Allez Up or any other authority does not mean that the holder is an expert or responsible person.

I ASSUME FULL RESPONSIBILITY OF MY ACTS WHEN USING THE AUTO BELAY DEVICES.

I understand that the auto belay devices are available to me so that I can climb without a partner. I am responsible to follow the instructions to make sure the device is working properly and that my harness is properly secured on the auto belay carabiner.

AGREEMENT TO ABIDE BY THE RULES AND REGULATIONS

I agree to abide by the rules and regulations of ALLEZ UP, which are posted on the bulletin board on the floor of the gym.

ALLEZ UP reserves the right to refuse to accredit any climber who does not pass the ALLEZ UP accreditation test. Furthermore, ALLEZ UP reserves the right to suspend or remove the accreditation of any climber who demonstrates an unsafe attitude toward safety in indoor rock climbing while at ALLEZ UP, or who does not obey the rules and regulations of ALLEZ UP.

HELMET WAIVER

I understand that wearing a climbing helmet can reduce the risk of head injury and I am personally responsible for my decision to wear a helmet or not. It is my responsibility to provide my own helmet. 

I acknowledge that I have read and understand the above acknowledgement and acceptance of risks and responsibilities, and I agree to abide by the rules and regulations of Allez Up. 


********** UNACCREDITED GUEST CLIMBERS **********

As a host for a guest member, I acknowledge that I am responsible for putting on my guest(s)’s harness and for tying them in using a figure-eight knot. I am also responsible for my guest if he wants to use an auto belay device. I further understand that any breach of this rule may result in my being asked to leave the premises, without refund. I understand that I must be 18 years of age or older in order to be responsible for a guest.

As an unaccredited guest of an accredited climber at Allez Up, I acknowledge that I am not permitted to put on my own harness or tie my own figure-eight knot. I agree that I will not belay any climber while I am at Allez Up. Furthermore, I agree that I will not take instruction on any aspect of climbing safety while I am at the gym, except from an Allez Up instructor in the context of an Allez Up course. Climbing safety includes putting on my harness, tying the eight-knot or belaying. I further agree that any breach of this rule may result in my being asked to leave the premises, without refund.

I acknowledge that I have read and understand the rules concerning guest climbers.

Date: May 26, 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:*
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Parent or Guardian's Email Address

Email*
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A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
For guests, name of the responsible member:

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How did you hear about us?*
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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*

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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