Loading...

Warehouse Rocks Climbing and Fitness, LLC

&

Reading Rocks Climbing and Fitness, LLC

Visitor Agreement

(Including Acknowledgment of Risks, and Agreements of Release and Indemnity)

In consideration of being allowed to visit the climbing gym and premises of Warehouse Rocks Climbing and Fitness, LLC and/or Reading Rocks Climbing and Fitness, LLC (“the gyms”), I, an adult (eighteen years of age or older) visitor or the parent or legally appointed guardian (both, “Parent”) of a visitor who is a minor, understand, acknowledge and agree as follows:

 

ACTIVITIES: The activities offered by the gyms include bouldering, climbing, rappelling and lowering from artificial indoor walls; the use of belay systems both roped and mechanical; games, initiatives, low challenge and high challenge course obstacles; slacklining; the use of exercise, fitness and training facilities and equipment; social events in and outside the gyms; and otherwise moving about the premises of the gyms, including its outside perimeter (all, “the “activities”).

 

An orientation and/or training may be required before participating in climbing activities in the gyms and that visitors may be required to pass an assessment or assessments prior to participating in certain activities. I understand that if additional assistance, orientation, instruction, training or assessment is required, because of lack of training or qualification, visitors must seek such assistance, orientation, instruction, training or assessment from the climbing gyms staff prior to participating in an activity. While orientation and assessment may be required for certain activities, and staff may be present, visitors should not assume that they are being supervised in their activities.

 

RISKS: I understand that the activities of the gyms require moderate to heavy physical exertion. I, an adult visitor or Parent, represent that neither I nor the minor visitor (if applicable) has any mental or physical condition that might create risks to myself (or to the child), or to others. If I have any reason to believe such a condition might exist I have consulted with an appropriate health care professional and been advised that I, or the child, may participate without creating the risks described above.

 

Climbing and other activities of the gyms are dangerous and visitors will be exposed to risks including, among others, the following: (1) slips, falls, entanglements, abrasions and collisions with persons and fixed objects while using the climbing and other facilities and equipment, landing areas, entrances and exits, and other areas of the gyms including its outside perimeter; (2) misuse of equipment (including failure to properly clip into and operate belay systems, including auto belays) and facilities; (3) failure of ropes, slings, harnesses, climbing hardware, anchor points, cables, auto belay devices and other equipment utilized at the gyms, whether or not supplied by the gyms; (4) a lapse or impairment in my or the child’s judgment, ability to follow instructions, physical strength, coordination, or balance when climbing, belaying, participating in an activity or otherwise moving about the premises.; (5) bad decision making by me, including, if I am a Parent, while assisting the minor visitor in an activity; and (6) the acts or omissions of other persons, including staff, which might include inadequate or faulty instructions, and falling climbers or dropped ropes, climbing hardware, wall components, or other items or personal effects.

 

I understand that wearing a helmet does not eliminate the dangers associated with climbing but that in certain instances a helmet can reduce the risk of permanent brain damage or other serious injury. I am also aware that it is my responsibility to use, and to ensure that the minor visitor uses, a protective helmet according to the manufacturer’s specifications. I understand that if I, an adult climber, choose not to wear a helmet for myself or a minor visitor, then I do so against the gyms' advice and assume all risks of using or not using such protective headgear. I understand that helmet policies may differ per location.

 

These risks and others are inherent to the gyms, their activities and premises – that is, they cannot be eliminated without destroying the basic nature of a visit to the gym, and participation in its activities. I acknowledge that I am, or the minor child is, voluntarily participating in these activities and am, or is, aware of these dangers/risks associated with the sport and activities provided in the gyms.

 

ASSUMPTION OF RISKS: I understand that the risks described above, and others, inherent or not, may result in all manner of trauma including breaks, sprains, abrasions, serious injury and even death. I acknowledge and assume all such risks, inherent and otherwise and whether or not described above. I will carefully read and comply with the Rules and posted warnings and instructions. If the visitor is a minor, I, Parent, have discussed the Rules, activities and risks and protective helmet requirement with the child, who understands them and wishes to participate nevertheless.

 

RELEASE AND INDEMNITY: I, an adult visitor or parent (for myself and, to the maximum extent allowed by law, on behalf of the minor visitor, if applicable), agree to release and covenant not to sue, and to defend and indemnify (that is, to pay or reimburse damages and costs, including attorneys’ fees), Warehouse Rocks Climbing and Fitness, LLC and/or Reading Rocks Climbing and Fitness, LLC, the owner of the premises on and about which its activities are conducted, and their respective owners, directors, officers, volunteers, and employees ("Released and Indemnified Parties") with respect to any claim related in any way to my, or the minor visitor’s, visit to the gyms, including participation in an activity of the gym, as a passive observer, or the use of its premises, facilities or services. These agreements of release and indemnity include loss or damage, whether economic or non-economic, caused or claimed to be caused in whole or in part by the negligence, but not the intentional wrongs or the gross negligence, of a Released and Indemnified Party. This paragraph shall survive the termination of this contract and shall inure to the benefit of the Released and Indemnified Parties.

 

OTHER

In case of emergency, I as an adult or as Parent/Guardian of a minor hereby agree and allow Warehouse Rocks Climbing and Fitness, LLC and/or Reading Rocks Climbing and Fitness, LLC to provide or obtain emergency medical care. I as an adult or as Parent/Guardian to a minor hereby agree and acknowledge that there is valid health care insurance policy on me or the minor which will be responsible for any charges incurred. I as an adult or as Parent/Guardian of a minor agree in any event to reimburse any out of pocket expenses incurred by the gyms in response to any emergency situation.

 

I hereby give my permission and consent to the taking of photographs, video recordings, and other images of me or the minor visitor for any purpose and without compensation.

 

The terms of this agreement and any dispute between a Released Party and a visitor or Parent, related to this agreement or otherwise, will be governed by the substantive laws (not including laws which might apply the laws of another jurisdiction) of the Commonwealth of Pennsylvania. Any suit or mediation of the dispute will take place solely in Adams County, Pennsylvania. I consent to the subject matter and personal jurisdiction of such courts, for myself and on behalf of the minor visitor.

 

This document is intended to be binding, to the fullest extent allowed by law, on the person signing below, the minor child, if any, and their respective successors, heirs, executors, administrators and family members. It may not be altered. If any part of this document is deemed by a court of competent jurisdiction to be unenforceable the remainder shall nevertheless be in full force and effect.

 

This agreement will govern visits to the premises of the gym on the date on which it is signed and thereafter until it is withdrawn by written notice to the gym or replaced.

 

WARNING: A person who falsifies his or her signature below or misrepresents the capacity (as parent or legal guardian, for example) in which they sign will be considered a FORGER and, in addition to other civil and criminal penalties, will be deemed to have agreed to indemnify the Released and Indemnified Parties from and against any claim of loss asserted by or on behalf of a person whose visit to the gym was facilitated by that forgery.

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
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE! and  Rock Gym Pro