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YOUTH SOCIAL FORM

The following document relates to Luckwell Developments Ltd and/or its subsidiaries and associate companies (including, but not limited to, the centres trading as Redpoint and Flashpoint). The information on this form will be stored by Luckwell Developments Ltd and/or its subsidiaries and associate companies (including, but not limited to, the centres trading as Redpoint and Flashpoint) indefinitely for reasons of legal security. You can request copies but requests to delete your information will not be accepted. Your information will be handled in line with our privacy policy, which is available on our websites.

ACCEPTANCE OF RISK

Association of British Climbing Walls Participation Statement:

“All climbing and bouldering activities have a risk of serious injury or death. Participants must be aware of and accept 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.”

It is important that you understand this document. There is inherent risk involved with climbing centres and associated activities. By signing this form, you are stating you understand that these risks cannot be completely removed. If you do not understand any of the terminology or content, ask a member of staff to clarify. 

THE SOFT MATTING DOES NOT REMOVE 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.

Do you agree to Acknowledgement of Risk statements above:

I Agree


CONDITIONS OF USE

Declaration of fitness:

You must disclose to the lead instructor any condition that may affect you, or minors you are responsible for, taking part in activities such as: asthma, diabetes, epilepsy, fainting, allergies, heart condition, blood condition that could affect bleeding, recent or long standing injuries such as back, knee or ankle, anything currently under investigation or any other medical condition.

Behaviour:

In the interests of safety, the participant must follow the instructions of the staff at all times. Failure do to do so may result in the participant not being allowed to continue with the activity. If the session is stopped due to the behaviour of the participant, no refunds will be made.

Photos:
We may use any photos or video taken of you, or your group, in our centre on our website or social media. If you would like to opt out you must make it clear to the instructors and Duty Manager. Kindly only photograph or film your own group within the centre.

Do you agree to Conditions of Use statements above:

I Agree


Participant Proficiency:

We require all participants to maintain an exemplary standard of proficiency in all safety related aspects of climbing in the centre. This means that participants will be deemded to have broken the rules of the centre, and therefore their club space and unsupervised climbing sign-off may be revoked, if they:

  • Climb with an incorrectly fitted harness.
  • Tie-in to the incorrect place on their harness.
  • Tie-in with anything other than a rethreaded figure-of-8 knot, with a min. of 15cm of tail.
  • Do not complete partner based climber and belayer checks before each climb.
  • Let go of the dead rope when belaying.
  • Act in any way that is a danger to themselves of other users in the centre.

Do you agree to Participant Proficiency statements above:

I Agree


DECLARATION

By completing this document, you (the adult participant OR the parent/appointed guardian of the under 18 participant) agree that you have read, understood and accept the following:

  • You have read, understood and accept the ACCEPTANCE OF RISK and CONDITIONS OF USE statements above.
  • You are the legal guardian of the child(ren) listed below.

Do you agree to Declaration statements above:

I Agree

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Questions

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
First Participant's Signature*
Second Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Second Participant's Signature*
Third Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Third Participant's Signature*
Fourth Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

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

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Tenth Participant's Signature*
Parent's Email Address

Email*
OPT-IN for Update Emails and Promo Deals
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent Questions
Has the under 18 participant been signed-off to climb unsupervised for either top-roping or lead climbing by a Redpoint Bristol Duty Manager?*
Do you understand that the under 18 participant will be climbing without direct supervision from the instructor?*
Do you understand that the under 18 participants club space or sign-off may be revoked if they breach the Youth Social Code of Conduct?*

The parent/ guardian 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/ guardian agrees that they are also subject to all the terms of this document, as set forth above.


Parent's Name

First Name*

Last Name*

Relationship*

Phone*
Parent's Date of Birth*
Parent's Questions

Youth Social Code of Conduct

Participants must agree and adhere to the Youth Social Code of Conduct both when climbing in Youth Social club sessions and independently outside of club sessions.

I will respect other walls users in all climbing areas, sharing the use of climbing walls.*
I will listen to the Youth Social coach and follow their directions during sessions.*
I understand that I must only climb and belay for the activities I am signed-off for, either top-roping or lead climbing.*
I understand that I must display excellent behaviour and proficiency when climbing and belaying, both in and out of club sessions.*
I understand that permission to climb unsupervised can be revoked at anytime depending on my behaviour, which would jeopardise my position in the Youth Social club.*
Parent'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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