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High Ropes &
Climbing Activity Waiver


I confirm that by signing this waiver on December 6, 2023 that i agree to all the below statements and will comply with the rules described. 

  1. All activities are supervised by responsible, trained and experienced instructors 
  2. All participants of abseiling and climbing must wear protective head gear and utilise safety ropes in all circumstances.
  3. Persons under the age of 16 years must obtain a signed indemnity form by a parent or guardian of the minor.
  4. All participants must sign a declaration confirming that:
  5. they will attend a safety briefing on the risks involved.
  6. you accept that these activities are dangerous and can result in death and or injury.
  7. you accept the risks involved and are responsible for your own actions and or involvement.
  8. and such declaration where the participant is Declarations for those under 16 years of age must be counter signed by the parent or guardian.

I Agree




First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Risk Acknowledgement & Disclaimer
I confirm that all participants are over 8 years of age and over 4'/1.2m in height*
No
Yes
I confirm that I am under the maximum weight restriction of 18st/114kg for this activity*
No
Yes
I understand that ALL tickets are none refundable.*
No
Yes
I confirm that I am not under the influence of alcohol and/or drugs.*
No
Yes
I understand that I may be immediately removed from the course and/or prohibited from taking part in the activities if I am considered unsafe to do so in the company’s reasonable opinion.*
No
Yes
I agree that if I do not follow the instructions or as a result of disobeying or disregarding those instructions and I suffer loss, damage or injury I will not hold the company or its employees and agents liable. For the avoidance of doubt, neither the company nor its employees will be liable for any direct or indirect loss, damage or injury arising in any form whatsoever due to disobeying or disregarding instructions given to you.*
No
Yes
I understand that the activities consist of a substantial and physically testing aerial obstacle course. I accept that there is a risk of injury when undertaking the activities and I accept this risk. I confirm that I am physically fit and to the best of my knowledge certify that I am not pregnant and I have not suffered or currently suffer from any medical condition which might have the effect of increasing the likelihood of an incident arising which could result in injury to me or others. Please notify a staff member of any known conditions.*
No
Yes

Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 16 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 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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