Loading...

The Climbing Hangar – Registration Form  

Unsupervised and supervised indoor bouldering and use of the training area at The Climbing Hangar Swansea


Participation statement

The British Mountaineering Council recognises that bouldering, 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.

Grip UK (The Climbing Hangar) takes all necessary precautions to ensure the safety of all participants and asks all our customers to minimise the hazards inherent in bouldering, training, and slacklining by complying with The Climbing Hangar’s conditions of use.

The management accepts no responsibility to any loss of injury resulting from anyone’s involvement in indoor bouldering or slacklining and all individuals participate at their own risk.

However, signing this waiver does not compromise your legal rights, nor does it release the Climbing Hangar from any of its obligations towards you.

If you have any medical conditions or injuries which may make bouldering or slacklining ill-advised activities, please come, and speak to a member of staff.

Please read the following and sign below to show that you have understood each point.

Declaration of fitness

I certify that to the best of my knowledge; I do not suffer from a medical condition which might have the effect of making it more likely that I be involve in an accident which could result in injury to myself or to others.

Declaration of fact

I confirm that all information provided in this form is correct and if there are any changes, I will notify the centre.

Climbing and alcohol

I understand that alcohol is available for sale at The Climbing Hangar on the understanding that customers are not allowed on the wall after drinking and should always enjoy alcohol responsibly whilst on The Climbing Hangar’s property.

Use of offensive language

I agree that during my visit I will not use any discriminatory, threatening, derogatory, or insulting language that can be perceived as such by other people in the centre. I acknowledge that breaching this condition of use may result in revocation of membership and a permanent ban from the premises.

Climbers aged 14-17

Climbers between the ages of 14 and 17 can climb independently at The Climbing Hangar provided they have been signed off by a parent or guardian IN PERSON at their first visit. Once signed off 14–17-yearolds are free to visit without adult supervision.

U18s using the Training Area

GB Youth Development Team members can use the training area without supervision. All other U18 climbers must have an induction before being allowed to use the area. They’ll be signed off at reception on completion of the induction. Strictly no under 18s on the campus board and gym equipment (including TRX and rings). Please use the checkbox to confirm that you have read and understood the requirements for U18s using the training area.

I Agree

Declaration

I confirm that the information provided in this form is correct, and if any information changes, I will notify the centre. 

I Agree

 

Agreement

I have had sufficient time to read this entire document. I have read and understood, and I agree to the terms and conditions stated.  

I confirm that I have watched and understood the safety video prior to signing this waiver.

I Agree



Today's Date: April 2, 2023







First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
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*
For the chance to win one months FREE membership, sign up to our marketing emails and updates. With our emails you'll be first to know about our upcoming events and promotions. (Winner announced monthly)
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.


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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Gender*
How would you best describe your bouldering experience? *

Safety Questions:


Please speak to a member of staff if you do not know the answer to any of the following questions.


I confirm that I have watched and understood the safety video prior to signing this waiver.*
I understand that the matting does not gaurantee my safety.*
What should you do if you find a spinning or broken hold? *
What is the safest way down from the top of a climb? *
What should you do with your water bottle and personal belongings whilst you climb? *
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