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City Bouldering & Climbing Co Acknowledgement of Risk:

This form is for parents or guardians to sign on behalf of their child to allow them to climb on any instructed sessions at City Bouldering or Climbing Co, and to supervise the minor in the bouldering area themselves. This form covers sessions in both the bouldering area (climbing above crash matting without the use of harnesses or ropes), and the use of autobelays (mechanical devices used with harnesses to lower participants from the wall). If you intend to supervise your child, you must select ‘Adult and Minors’ as you must register yourself as well as your child(s). 

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

Climbing participation statements:

  • BMC – “The British Mountaineering Council recognises that climbing (including bouldering) and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions.”
  • ABC – “All climbing activities (encompassing roped climbing, bouldering and auto belay 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.”

1. Acknowledgement of Risks

Auto belays:

  • Climbing and the use of auto belay devices involves inherent risks of serious injury and death, which cannot be completely eliminated.
  • Failure to correctly attach to the auto belay device may result in a ground fall, serious injury, or death.
  • The auto belay device lowers the climber automatically when they let go; during descent the climber may collide with the wall, holds, or other people below.
  • Misuse of the device, including but not limited to swinging, jumping, pulling on the lanyard, or interfering with the mechanism, may cause injury to the climber or others, or damage to the equipment.
  • Failure to clip in or ensure the harness is correctly fitted could result in serious injury as safety systems may be compromised by incorrect use.

Bouldering:

  • THE MATTING DOES NOT REMOVE THE RISK OF INJURY. The soft flooring under the bouldering walls is designed to provide a more comfortable landing for climbers falling or jumping from the bouldering wall. The soft flooring does not make the climbing any safer. Broken and sprained limbs are common on this type of climbing wall despite the soft landing. Uncontrolled falls are likely to result in injuries to yourself or others and you should always be doing your utmost to avoid the risk of uncontrolled falls. Injuries can still occur even after a controlled/planned jump but are more likely after an uncontrolled fall.
  • 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. 
  • 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
  • Participants must be aware and accept that climbing holds can spin or break

2. Conditions of Use

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, and anyone you are responsible for, 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.

Facilities & Services

  • City Bouldering reserves the right to close for any period of time required for any activity.
  • CCTV will be monitored and recorded throughout for the purposes of crime prevention and public safety. 
  • City Bouldering is not responsible for any lost, stolen, or damaged personal belongings. 

3.The Rules

General Safety Rules:

  • Check in at reception before every visit.
  • Always be aware of your surroundings and exercise due care, common sense, and self-preservation at all times. 
  • Never walk, stand, or sit, underneath someone climbing. Never climb above, below, or near another climber. Before climbing, always check that your route doesn't overlap with another climber. 
  • Descend by climbing down using any holds. If climbing down is not possible, use a controlled jump. Uncontrolled falls increase the risk of injury to yourself or others. 
  • Hard items, food, bottles and bags, are not allowed on the matting. Lock up all valuables.
  • Empty your pockets before climbing, and remove jewellery - including rings. 
  • Do not attempt to climb over the climbing wall, grab the top of the climbing wall, or grab any surrounding structures.
  • Climbing shoes must be worn when climbing; outside shoes and bare feet are not allowed. Suitable clothing must be worn at all times in the centre - please remove hoodies. 
  • Report any problems with the walls, equipment, or other climbers’ behaviour to a member of staff immediately.
  • People under the influence of alcohol or drugs are not allowed on the premises. Smoking or vaping is not allowed in the centre.

Under 16s Rules:

  • All under 16’s must be supervised by a registered adult over the age of 18, or a City Bouldering or Climbing Co instructor. All under 16s must have a waiver completed for them by their supervisor before they climb. 
  • Children must be kept under control and be directly supervised at all times. Be close enough to affect or control the child’s behaviour at all times
  • When filling out the body of this form, please select 'Adult and Minors' if you intend to supervise the minors, or just 'Minors' if they will be attending a class. 

4. Release of Liability

  • I understand that bouldering and its inherent risks means it can be a dangerous activity.
  • I acknowledge that bouldering is a physically demanding sport and I participate entirely at my own risk. City Bouldering or Climbing Co, its owners, and its employees shall not be liable for any personal injury, death, or loss resulting from the inherent risks of climbing or my own failure to follow safety protocols.
  • The City Bouldering or Climbing Co accepts no responsibility for the loss, theft, or damage of any personal property brought onto the premises, including items left in lockers or the changing area.
  • Nothing in this agreement shall exclude or limit City Bouldering or Climbing Co’s liability for death or personal injury caused by its own proven negligence, or any other liability which cannot be excluded under UK Law.
  • I authorise City Bouldering or Climbing Co employees to provide or obtain medical assistance without liability, for me or any person(s) I am signing on behalf of, and if required, to arrange transport to a medical facility.
  • Being the parents/guardians of the named minor(s) on this form, I hereby consent to the staff of City Bouldering or Climbing Co i) Acting in “loco parentis” should urgent permission be required for treatment/surgery AFTER all attempts to locate us, or our other emergency contacts named below, have failed, ii) Accompanying my child to hospital should he/she require urgent medical treatment, iii) Treating my child for minor accidents which may occur with any medications kept in the First Aid box. I understand that in critical situations medics will make a decision about treatment whether there is parental consent or not.
  • I confirm that City Bouldering or Climbing Co may use any photograph or video of me or any person(s) I am signing on behalf of, taken inside their facilities or at any activity hosted by them, for promotional purposes. You must inform the staff every time you enter the building if you do not consent to this.

I Agree


First Parent/Legal Guardian Name
First Name*
Last Name*
Phone*
Select Gender
First Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
First Parent/Legal Guardian Signature*
Second Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Third Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Fourth Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Fifth Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Sixth Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Seventh Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Eighth Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Ninth Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
Tenth Parent/Legal Guardian Name
First Name*
Last Name*
Select Gender
Parent/Legal Guardian Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
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*
Please read the following questions and answer with a YES/NO answer
1 - Are you (the person signing this waiver) 18 years old or over? *
2 - Do you understand that there is risk involved in bouldering, autobelays, and other climbing activities, and that the matting does not remove the risk of injury?*
3 - Do you understand good practice for bouldering, autobelays, and have you read and understood the Acknowledgement of Risk and the Conditions of use? *
4 - Do you understand that failure to exercise due care could result in injury or death?*
5 - Do you agree to abide by the conditions of use & the rules of the centre, and any instructions from staff if given? *
6 - Do you give permission for the named minors on this form to participate in both Bouldering and Autobelay activities, and do you understand the risks of these activities? *
7 - Do you have ANY QUESTIONS regarding the Conditions of Use or the Rules of the centre? If you do, please speak to a member of staff before finishing this form.*

Agreement for Instructed Sessions:

I, the parent or legal guardian of this child, give permission for them to boulder and/or climb on an instructed session at City Bouldering. I have read and understood the City Bouldering Terms and Conditions of use and rules, and the risks involved in bouldering and autobelay activities. I certify that the under 16 participant named above does not suffer from any medical conditions which might be adversely affected by participation in climbing activities. I confirm that the above information is correct and if any information changes I will notify the centre.

Supervision Acknowledgement of Risk:

Under 16s can climb when supervised by a parent or legal guardian who must take full responsibility for the safety of the minor/s. We have site specific supervision policies at our gyms which cover supervisor ratio, minimum ages, and times; please read the centre specific policy online before your visit. 

As the supervising adult, you must understand and agree to the terms below:

  • If you attend the gym with minors you are responsible for supervising them at all times, even when they are not climbing. 
  • Supervisors cannot leave minors unattended; they must be kept within arm’s reach at all times and stay with the supervising adult when moving around the centre.
  • The supervising adult must be attentive and ready to intervene or spot when necessary whenever a child is climbing.
  • Only one supervised child should be on the climbing wall at once.
  • Children must be kept under control and be directly supervised at all times. Be close enough to affect or control the child’s behaviour at all times.
  • Running, acrobatics, and other sports are not allowed on the matting. Any unsafe behaviour will result in being asked to leave.
  • Children are at particular risk of being seriously injured by falling climbers. Supervising adults are responsible for making sure that children are never directly below climbers, and do not walk, run, climb, or sit under climbers. 
  • Minors are not permitted within the gym area and cannot use gym equipment. 

By signing below, you agree to the above terms.




Parent or Guardian's Name
First Name*
Last Name*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Information
Postcode *
Do you have any Medical Conditions? Please specify if so, if not put 'none'. *
Are there any additional needs our team should be aware of?
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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