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Bouldering Wall

Release of Liability and Acknowledgement of Risk


The Participant (or supervising parent/guardian) should read the following carefully and initial where indicated. The document should then be signed by the participant (or supervising parent/guardian) in the signature box.

This acknowledgement of Risk Form is for unsupervised climbing at Hampshire Boulder. If you are unsure of any aspect of the form, you should not fill this in online. Please come to reception and fill it in where a staff member can answer any questions or clarify any points that may be unclear. If you have any impairments that can affect you filling in the form or climbing, please fill in the form within the Hampshire Fitness Centre with staff support.

Hampshire Boulder Induction Video

You must have watched the Hampshire Boulder Induction video and be confident that you understand the risks involved in participating in indoor bouldering.

Risks & Rules

  • Indoor bouldering carries a danger of personal injury or death. I am aware of and accept these risks and understand that I am responsible for my own actions and involvement.
  • Hampshire Boulder is an artificial climbing environment, but the risks are no less severe than when climbing outdoors. There is an additional risk that holds can spin or break.
  • The soft matting under the wall does not guarantee your safety. Any fall may result in an injury to the participant or others. We strongly recommend you descend by climbing down carefully.
  • Climbing beyond your capabilities is likely to result in a fall so you must make your own assessment of the risk whenever you climb.
  • Report to reception on each visit before you climb.
  • Do not sit, stand or boulder under other people.
  • Do not grab or climb over the top of the wall.
  • Do not grab, lean on or in any way intentionally touch the roofing structure.
  • Keep bags and personal items in designated areas, NOT on the mats or walkway around the climbing area. This will keep the mats clear for those bouldering.
  • Water bottles are not allowed on the mats at any time.
  • Avoid uncontrolled falls. Do not jump from the walls.
  • Do not wear jewellery, particularly rings, when bouldering, these can catch and cause injury.
  • Avoid running on and off the mats and around the bouldering area.
  • Somersaults and other, similar gymnastics and parkour-style movements are not permitted at Hampshire Bouldering wall unless under professional instruction.
  • Report any safety concerns to a member of staff without delay.


Initial here to show that you have watched the safety induction video and read, understood and accept the above Risks & Rules of bouldering at Hampshire Boulder.


Conditions of Use

Duty of Care – The rules of use (above) 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 must politely ask you to leave. You also have duty of care to act responsibly towards the other users of the Centre.

Free-weight & Gym Use – The use of free-weights and training aids in the gym is only prohibited for gym members. The use of the gym come with additional risks of injuries to yourself and others. This equipment is for those 16 years old or more, unless under the supervision or guidance of a professional coach or physical trainer. Before using any of the weights or training aids in the gym area you must ensure you have received professional training advice on how to use them. This may be from a physical trainer at another gym or by a member of the Hampshire Fitness Centre or Hampshire Boulder Training team. Please ask any Hampshire Boulder team member for information on how to book this. Hampshire Boulder & Hampshire Fitness Centre is not responsible or liable for any injuries, losses or damages that arise from use of the equipment, each time, you are responsible for reading, and following the instructions of the current signage in the vicinity of the equipment you use. 

Medical Conditions – If the participant has any sort of medical condition or pre-existing injury this may make it more likely that the participant is injured while bouldering or using the training facilities. Please consult your doctor for advice about the extra risk involved.

Unsupervised Climbing – Unless you are booked on to an instructed group your climbing session will not be supervised by Hampshire Boulder staff. You should be familiar with the risks & Rules of use. These are described in the online safety video, and you should ask a member of staff if they are not clear to you. Staff will provide whatever help and advice they can, but instruction in the use of equipment or climbing techniques will only be provided where it has been booked and paid for in advance. If you are not confident in the use of any climbing equipment or technique, then do not attempt to use it without supervision of someone who is competent to do so.

Supervised Climbing – An adult aged 18 or over who has registered to climb may supervise in accordance with the safe supervision guidelines and must take full responsibility for the safety of the climbers they are supervising. Each supervisor (whether climbing themselves or not) may supervise two climbers 6-17 years old. 4–6-year-olds must always have 1 to 1 supervision, with no exceptions. 

Your Data – By participating at Hampshire Fitness Centre on the Hampshire Boulder you accept that we will be keeping your data indefinitely, however at anytime you can ask for your data to be deleted. In the event of a First Aid form needing to be filled out we will be keeping this information for 3 years (from your 18th birthday). We take protecting your data seriously, all of the data that we gather is kept in accordance with the Data Protection Act.


Initial here to show you have read and understood the Conditions of Use of Hampshire Boulder at Hampshire Fitness Centre.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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 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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