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 Please read and sign the BU Rock Wall User Agreement after you have been oriented.

Please read this document carefully and in its entirety. It is a binding agreement between myself and the Trustees of Boston University (BU). This agreement contains important information for and your obligations in relation to engaging in rock climbing. In consideration of being allowed to use BU’s rock wall or otherwise participate, I acknowledge and agree to the following:

Use of the rock wall and rock climbing can be dangerous and involve the inherent risk of serious injury or death. The inherent risks of using the rock wall and participating in rock climbing activity include, but are not limited to: (1) misuse of the climbing walls, equipment or facilities; (2) falls and abrupt and possibly harmful contact with persons, structures and objects (fixed and moveable), including rock wall and rock features, volumes, holds, ropes, equipment (including dropped equipment during route setting or otherwise), flooring, mats and other surfaces; (3) failures of the rock wall structure, climbing equipment, mats, holds, harnesses, auto belays and exercise equipment; (4) injuries and health problems, including exhaustion, heart attack, sprains, strains, scrapes, contusions, cuts, abrasions, fractures, back injuries, paralysis and death; (5) transmission of disease; and (6) lack of training and conditioning. Participants (climbers and belayers) have the responsibility for managing all such risks, supervised or not.

Participant is fully responsible for his/her own expertise. While BU offers orientation and training for use of the rock wall, participants bear the responsibility for duly seeking out and completing and understanding training materials before using the rock wall or belaying. Participants also agree to seek out and complete any retraining or refresher courses should they consider it necessary at any time.

Participant understands that floor padding/mats cannot eliminate or even completely mitigate the risk of serious injury or death. Participants agree that the climbing floor padding and other protections may only partially mitigate and do not eliminate all risk of serious injury or death. I understand that a fall from any height can cause injury. I understand that it is my responsibility to practice landing and to be aware of my landing zone at all times while climbing. These and other risks are inherent to the activities and cannot entirely be disassociated from participating in rock climbing activities.

To the maximum extent permissible under the law, I hereby acknowledge and assume, expressly and through this Agreement, the risks described above and their inherency, and that other risks, known and unknown, inherent and otherwise, may be encountered.

I have read and understood the rules and regulations of the BU rock wall and I acknowledge and agree to the following:

• I have received a demonstration of and will use proper landing technique.

• I understand that I must pass a belay certification test prior to belaying a climber, and that I must not top rope belay without a valid BU Rock Wall belay certification.

• I have consulted with my physician and I am physically able to participate in rock climbing.

• I am not pregnant, nor do I have a history of high blood pressure or a heart condition.

• I have or will perform a safety check on all the equipment prior to the use of such equipment.

• When climbing, I will tie in using the rewoven figure eight knot and if the tail is longer than 6” in length (about two fists) I will tie the tail with a double overhand knot.

• When belaying, I will belay from an UIAA-approved harness using a belay loop and not from a fixed anchor point.

• I will not sit or lie down while belaying.

• I am 18 or older.

• Route setting shall be performed only by BU employees.

To the maximum extent permissible under the law, I agree to indemnify the Trustees of Boston University and its employees from any claim and from any liability, loss, damages or expenses (including attorneys’ fees) resulting from my breach of this agreement and any failure to comply with rules of the facility or instruction given by employees of BU. 

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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*
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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