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Fenrock prioritises safety above all. Given the inherent risks involved in climbing activities. It is a requirement to read, understand, and sign this waiver before you OR an accompanied person uses any of the facilites at the climbing centre.

Assumption of Risk

Climbing is a physically strenuous activity with inherent risks and hazards. Risks include, but are not limited to, falls and improper use of equipment. By signing this waiver, you acknowledge and accept these risks on behalf of yourself AND the person in your care whilst on the premises.

Responsibilities:

● Awareness: You understand that climbing activities and use of gym equipment require physical exertion, balance, and overexertion may result in serious injury.

● Fitness: You declare that you AND the person you are supervising are physically fit and able to participate in activities at Fenrock Limited. If you have any health concerns or medical conditions that could be affected by strenuous activity, a medical professional should be consulted prior to climbing and using the facilities at Fenrock Limited.

● Equipment: You agree to use all the facilities as per the induction, safety video and Fenrock Limited terms and conditions.

● Supervisers are responsible for the safety and behaviour of the assigned accompanied person.You agree to actively supervise them at all times during their activities in the centre.

● Competence: You confirm that you are competent in the use of the climbing centre and are able to adequately supervise and instruct the person in your care following Fenrock Limited's safety guidelines and rules.

● Emergency: In case of an emergency, you agree to follow the emergency procedures laid out by Fenrock Limited.

Waiver of Liability

By signing this waiver, the supervised person AND the supervisor, release Fenrock, its employees, directors, and agents from any and all claims, demands, or causes of action due to injury, death or damage to personal property arising out of your participation in activities at the climbing centre.

Confirmation of Understanding

I, the undersigned, have read and understood this waiver, and I acknowledge that by signing it I am waiving legal rights that I may have against Fenrock Limited.

Please note the ability to register and use the facilities and climbing wall at Fenrock Limited, does not imply that a person is competent to climb in any natural rock or outdoor environment.

 

First Supervisor Name

First Name*

Last Name*
First Supervisor Date of Birth*
First Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
First Supervisor Signature*
Second Supervisor Name

First Name*

Last Name*
Second Supervisor Date of Birth*
Second Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Third Supervisor Name

First Name*

Last Name*
Third Supervisor Date of Birth*
Third Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Fourth Supervisor Name

First Name*

Last Name*
Fourth Supervisor Date of Birth*
Fourth Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Fifth Supervisor Name

First Name*

Last Name*
Fifth Supervisor Date of Birth*
Fifth Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Sixth Supervisor Name

First Name*

Last Name*
Sixth Supervisor Date of Birth*
Sixth Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Seventh Supervisor Name

First Name*

Last Name*
Seventh Supervisor Date of Birth*
Seventh Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Eighth Supervisor Name

First Name*

Last Name*
Eighth Supervisor Date of Birth*
Eighth Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Ninth Supervisor Name

First Name*

Last Name*
Ninth Supervisor Date of Birth*
Ninth Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Tenth Supervisor Name

First Name*

Last Name*
Tenth Supervisor Date of Birth*
Tenth Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Supervisor Email Address

Email*

Confirm Email*
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Organisation/ School

Name of Organisation/ School

Job title
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.
Supervisor Name

First Name*

Last Name*
Supervisor Date of Birth*
Supervisor Information of Accompanied Person

Name of accompanied person

Age of accompanied person
Special requirements*
No
Yes

If yes, please give more information
Supervisor 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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