Loading...

Climbing Gym Release of Liability and Assumption of Risk

Adult Bouldering Registration

Participation Statement 

“The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement,’’

Association of British Climbing Walls - "All climbing activities have a risk of serious injury or death. Participants must recognise that even if they follow all good practice there may still be the risk of accident and injury. It is the responsibility of the participant to adhere to the conditions of use"

1.1 ASSUMPTION & ACKNOWLEDGEMENT OF RISK

I hereby acknowledge and accept that the activity of bouldering, both indoors and outdoors, and the use of Boulder Central, hereafter referred to as Boulder Central facilities, participation in its activities and or observation of such activities, involves risks. I recognise that some risks are inherent and as such cannot be eliminated or reduced. I confirm that I understand the nature and extent of these risks, which can include, but are not limited to:

        All manner of injury resulting from falling from height and coming into contact with; the floor, climbing surface, people and/or other permanent or temporary structures.

◦          Injuries resulting from the actions or oversight or others, including, but not limited to; falling climbers or dropped items.

◦          failure or misuse of equipment or any part of the facilities.

◦          failure to follow Boulder Central Ltd conditions or use and rules as outlined in sections 1.2 and 1.3.

◦           

I further acknowledge that there are risks associated with the use of Boulder Central Ltd facilities and participation in its activities other than climbing-related ones, including, but not limited to, the use of training equipment or participation in group classes.

I confirm that to the best of my knowledge neither I, nor any person(s) I am signing on behalf of, suffer from a medical condition that could increase the risk that I, or they, will be involved in an accident which could result in injury to myself. them or others

 

1.2 CONDITIONS OF USE

Our Duty of Care - The rules set out in section 1.3 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 our customers, by law. As such they are not negotiable. If you are not prepared to abide by them you may not use our facilities. Should it come to our attention that you are not abiding by our rules you may be asked to leave.

Your Duty of Care - You also have a duty of care to act responsibly towards other users and to adhere to our rules. Statements to 'Best Practice' are posted around the centre adjacent to the relevant facilities. These describe the accepted methods of use and how customers would normally be expected to behave towards each other.

Unsupervised Climbing - Before you engage in any climbing activity without supervision. we expect you to be competent in the activity you wish to undertake. By registering you both understand and accept the risks and agree to abide by the 'Conditions of Use' and 'The Rules' involved in your participation. Unsupervised climbing is just that, staff will provide whatever help and advice they can, but formal instruction in the use of equipment will only be provided when booked and paid for. Should you not be competent in the use of any of the equipment, you must not attempt to use it without the supervision or someone who Is competent and signed of to that effect.

Supervised Climbing - An adult who has registered for 'Unsupervised Climbing' may supervise up to two novices, if they are prepared to take full responsibility for the safety and wellbeing of those novices. Groups of three or more novices must only be supervised by an instructor holding relevant qualifications and insurance, and who has registered as an 'Instructor'. Novices must remain with their supervisor at all times whilst within climbing areas. When engaged in supervision, a supervisor must not leave the ground at any point.

Under 18's - All under 18's must be supervised by an adult deemed competent in the activity they are engaging in, unless they have been registered and assessed by centre staff to engage in 'Unsupervised Climbing'.

 

1.3 THE RULES

General Safety

Check in at reception upon each visit before engaging in any activity. Exercise due care, common sense, and self-preservation at all times. Report any problems with the walls, equipment or other climbers' behaviour to a member of staff immediately.

Be aware of other climbers and how your actions could affect them.

Never stand or climb directly under someone who is climbing.

Stand well back from the climbing walls unless supervising a climber.

Avoid distracting others while they are climbing or supervising.

Please be aware that impact flooring does not remove the risk of injury but is designed to reduce the severity of these injuries.

Ensure the climbing area and your persons are free from hazardous items.

Refer to best practice signage for specific area safety rules.

Be aware of the emergency exits and fire assembly points.

Bouldering

Never climb directly above or below another climber. Always ensure you are in a position to descend safely.

Descend by down climbing. Should that not be possible, then at the very least use a controlled fall.

Ensure a safe landing zone before descending.

Do not leave equipment, bags, bottles, etc on the bouldering mats.

'Topping-out' is prohibited unless climbing on the top out boulder. If you are unsure, please ask a member of staff.

Before use, ensure you are aware of the down-climb location. and once you have 'topped-out' ensure a prompt descent via the designated 'down-climb' route. Ensure the base of the down-climb route is clear before descending.

Training area and Gym

Customers agree to use any equipment provided by Boulder Central Ltd at their own risk, the equipment is strictly for customers 18 years and above

Customers are responsible for keeping the kit in a safe and tidy manner

Please initial below to indicate that you have read, understood and accept the terms laid out in sections 1.1, 1.2 & 1.3:

 

1.4 RELEASE OF LIABILITY

My participation, and that of any person(s) I am signing on behalf of, is purely voluntary, and I or they, elect to participate despite the risks

I hereby voluntarily release, forever discharge, and agree to hold harmless the Boulder Central Ltd, its owners and employees, with respect to all losses, damages, claims or other liabilities, whether known or unknown, arising out or any property damage, personal injury or wrongful death in any way connected to my participation, and that or any person(s) I am signing on behalf or, in activities both indoors and outdoors, that are hosted by or involve boulder central Ltd, its facilities or employees, with the exception of gross negligence or intentional misconduct.

I authorise Boulder Central Ltd employees to provide or obtain medical care without liability, for me or any person(s) I am signing on behalf of, and if required, to arrange transport for me or them to a medical facility.

I confirm that Boulder Central Ltd may use any photograph or video of me or any person(s) I am signing on behalf of taken inside their facility or at an activity hosted by them for promotional purposes related solely to the advertisement of their business. To opt out of this photography and video release of liability, please cease completing this agreement and email info@bouldercentral.co.uk.

 

Please initial below to indicate that you have read, understood and accept the terms laid out in sections 1.4:

 

 

Privacy and General Data Protection Regulations (GDPR) Policy

To comply with GDPR we are required to obtain your consent to collect and store your personal data. Boulder Central Ltd is the Data Controller. We require your data to ensure that you comply with the conditions of use of the centre. We will store your data securely and will not disclose it to any third party. At any time you can request a copy of your data free of charge. GDPR makes provision for you to request to have your data removed and erased. This is known as the ‘Right to erasure/ right to be forgotten’. When data is held for the establishment, exercise or defence of legal claims we have the right to refuse to erase the data. For this reason our insurers insist that we continue to hold your data for 3 years from the date of your most recent visit.

In order to be allowed to use the facilities and services provided by Boulder Central Ltd you are required to consent to our Privacy and GDPR Policy. Please click here to give your consent

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.  

Today's Date: [date]

 

First Participant or Supervisor's Name

First Name*

Middle Name

Last Name*

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

Medical Conditions (please state none if none applicable)
Gender:*
First Participant or Supervisor's Signature*
Second Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Third Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Fourth Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Fifth Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Sixth Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Seventh Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Eighth Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Ninth Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Tenth Participant or Supervisor's Name

First Name*

Middle Name

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

Medical Conditions (please state none if none applicable)
Gender:*
Participant or Supervisor'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*
Parent or Guardian's Information

Medical Conditions (please state none if none applicable)
Gender:*
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