Loading...

Awesome Walls

Bouldering Registration Form

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 contained within this form, ask a member of staff to clarify.


CONDITIONS OF USE FOR AWESOME WALLS CLIMBING CENTRES

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 outlined below

It is important that you understand this document. There is inherent risk involved with climbing centres and associated activities. By undertaking to climb or boulder within this centre you are accepting these risks and acknowledging that these risks cannot be completely removed. If you do not understand any of the terminology or content contained in this document, ask a member of staff to clarify.

The bouldering wall is the site of most injuries at a climbing wall. 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 continually assessing the risk of each climb that you undertake.

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 to avoid it. You must make your own assessment of the risks whenever you climb.

Our Duty of Care

The rules 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 rules 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.

Unsupervised Climbing

Before you can use the bouldering walls without supervision, you must know how to use the bouldering walls safely. You are required to register to say that you know how to boulder, 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 an instructor (competent person). If you are not confident in the use of any of the required climbing equipment or technique then do not attempt to use it without the supervision of someone who is competent to do so.

Supervised Climbing

An adult who has registered at the centre and proved competency (by attending a centre induction or through assessment), may supervise up to two youth (under 18 years of age) climbers. The member must be the youth climbers legal guardian in order to complete their Acknowledgement of Risk (registration) forms and take full responsibility for the safety of those people.

Children

Children (persons under 18 years of age) must be supervised in the centre at all times unless they have been assessed by the management and registered for unsupervised climbing.

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/bad practice to a member of staff immediately

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

•   Do not distract people while they are climbing or belaying.

•   Never stand directly under someone who is climbing.

•   If you have children, you must keep them under control and supervise them directly 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 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 belaying or spotting a climber.

•   You take responsibility for adequately maintaining your equipment.

•   Please empty your pockets and remove all jewellery before climbing.

Bouldering

•   Whenever possible down climb, 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.

•   Always take your harness off before bouldering.

•   Never Top out (climb over the top) of the bouldering surface.

•   Remove anything from pockets that could hurt you when landing.

•   Always be aware of people climbing above and around you.

•   It is your responsibility to ensure the landing area beneath your chosen climb is completely free from obstacles/obstructions.

Training Area

• The Training Area is strictly an adults only area. No members/climbers under 18 years of age are allowed to access the training area and use the equipment. You use the training equipment at your own risk. If you are unsure how to safely use any item, do not use it before asking a member of staff.

Photo on File

• We request and hold a photo of all our registered members on our system. This will be viewed by our staff on your entry each visit

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 involved in an accident which could result in injury to others or myself.

Declaration of Fact

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. 

All climbers will be asked competency questions and to demonstrate a skill from the Rules and Conditions at the front desk in order to complete their registration.


Today's Date: May 26, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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(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
Are you over 18 years of age? *
Do you 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) *
Do you understand there is a risk of injury involved? *
Have you 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) *
Have you watched the Boulder Safety Video? Are you aware of the risks shown along with how to minimise these? *
Do you understand that the boulder matting does not remove the risk of injury? *
When bouldering and roped climbing are you aware of the importance not to climb, walk or stand beneath other climbers? *
When bouldering and roped climbing are you aware that climbing holds can and do spin? *
Do you understand that failure to excercise due care could result in your injury or death?*
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