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Acknowledgement of Risk Form - Organised Youth Competition


Unsupervised climbing

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.

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 walls, equipment or other climbers' behaviour to a member of staff immediately. This is particularly important with broken or spinning holds

- Be aware of the other climbers around you and how your actions will affect them

- Never stand directly underneath someone who is climbing

- During the competition, participating children may climb unsupervised, at all other times you must keep children under control and supervise them directly at all times. Be close enough to affect or control the child’s behaviour at all times

- Please make yourself aware of the location of the fire exits in the building and fire assembly points

As a user of this climbing wall, you must be aware of and accept the following:

- Volumes on the walls are designed to enhance the quality of climbing but you must be aware of and accept 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 understand that climbing while pregnant can increase the risk posed to mother and unborn child

- 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 have to 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

Bouldering

- Whenever possible, downclimb, or if this is not possible, use a controlled/planned jump

- 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

- Top out (climb over the top) in designated areas only, if unsure, climb down

- Remove anything from pockets that could hurt you when landing

- Always be aware of people climbing above and around you

Training area

- You use the training equipment at your own risk.

- Competing children may use the space for warming up and isolation, but are not allowed to use any of the gym equipment. It is your responsibility to ensure they understand and adhere to this.

- If you are unsure how to safely use any item, please ask a member of staff

Our Duty of Care

The conditions of use 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 conditions of use 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.

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.

Induction

All children will undergo an induction on the day prior to the qualification round starting and there will be a staff member on the mats at all times ensuring centre rules or adhered to. Should your child have any questions or concerns there will be staff members available.

Unsupervised Climbing

Before you can use the bouldering walls without supervision, you must be aware of the safe usage of bouldering and know how to use the bouldering walls safely. You are required to register to say that you know how to boulder and 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 who has registered at the centre, and proved competency, may supervise up to two novice climbers, as long as they are prepared to take full responsibility for the safety of those people.

Groups of three or more novices must only be supervised by an instructor holding the relevant valid Mountain Leader Training qualification and insurance or other relevant qualification.

On the day of the competition children will be trusted to climb unsupervised. At all other times, all children in the centre must be supervised by an adult unless they have been assessed by the management and registered for unsupervised climbing.

Declarations

I certify that to the best of my knowledge, my child does not suffer from a medical condition that might have the effect of making it more likely that they will be involved in an accident that could result in injury to themselves or others.

I also confirm that the above information is correct and if any information changes I will notify the centre.

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.

 


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First Participant Name

First Name*

Middle Name

Last Name*

Phone*
First Participant Date of Birth*
First Participant Signature*
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*
PLEASE ANSWER 'YES' OR 'NO' TO THE FOLLOWING QUESTIONS.
Do you understand that this waiver is only valid for the day of the competition and if you wish to return you must fill out our facility waiver?*
No
Yes
Do you or your child wish to receive any paid training or instruction before proceeding to use the bouldering / wall facilities, including such equipment as has been hired to you for your use? (If yes, please ensure you have informed a member of staff)*
No
Yes
Do you and your child understand there is a risk of injury involved?*
No
Yes
Do you and your child understand and accept that your child will be unsupervised for the duration of the competition and the demands of competition climbing can increase the risk of injury?*
No
Yes
Have you and your child read and understood this Acknowledgment of Risk and Conditions of Use for climbing or bouldering? (If you have any questions, inform a member of staff)*
No
Yes
Do you and your child understand that failure to exercise due care could result in injury or death?*
No
Yes
Do you and your child understand that the boulder matting does not remove the risk of injury?*
No
Yes
Do you and your child agree to abide by this document and the conditions of use of the climbing centre?*
No
Yes
Tick to allow photo consent. Any photos may be used as part of Flash marketing, social media or website.
Photo consent
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 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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