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Novice Supervision



Copy and paste the body of your waiver here.

Adult Novice and Under 18 Supervised Roped Climbing & Bouldering

1 Competent adult may supervise up to 2 people



Novice Climbers

Novice Climbers are just that! They are not permitted to climb or boulder in the centre without the supervision of a registered climber.

As the supervising climber you should be capable and willing to provide full instruction for the novice in the following basic techniques:

- Safe use of the bouldering wall.

- Correct use of a climbing harness.

- Correct attachment of of climbing rope to climbing harness.

- Correct belaying technique.

- And any other climbing techniques required to ensure their safety and the safety of others around them.

- UNDER 18's must have a parental consent form completed

IF YOU DO NOT FEEL ABLE TO PROVIDE SUCH SUPERVISION THEN YOU SHOULD NOT COMPLETE THIS FORM


ABC Statement 

'All climbing activities have a risk of serious injury or death. Participants must recognise that even if they follow all good practise, they may still be the risk of accident and injury. It is the responsibility of the participants to adhere to the conditions of use'. 

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 that you understand these risks cannot be completely removed. If you do not understand any of the terminology or content, ask a member of staff to clarify.

As the supervising adult you agree that you answer the questions listed below to prove your competency.


First Supervising adult Name
First Name*
Middle Name
Last Name*
Phone*
First Supervising adult Date of Birth*
Date of Birth
First Supervising adult Signature*
Second Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Third Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Fourth Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Fifth Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Sixth Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Seventh Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Eighth Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Ninth Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Tenth Supervising adult Name
First Name*
Middle Name
Last Name*
Supervising adult Date of Birth*
Date of Birth
Climbers being supervised

A competent climber may supervise up to two novices and must follow the guidelines for novice supervision

First Supervised Climbers Name

First Supervised climbers name
First Supervised climbers date of birth

Seconds Supervised climbers name

Second Supervised climbers name
Seconds Supervised climbers name date of birth
supervising adult Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Privacy and General Data Protection Regulations

The data collected on this consent form and acknowledgement of risk is stored for this purpose only and will not be used by the YMCA for marketing. This contact data is used to contact for an emergency, or if a parent is required for their child. 


To comply with GDPR we are required to notify you that it is necessary to collect and store your personal Data. YMCA Robin Hood Group is the data controller. We require your Data to ensure that you comply with the Terms and Conditions of use of the centre, and as proof of this Acknowledgment of risk


We will store your data correctly and will not disclose to any third party. At any time you can request a copy of your data free of charge. GDPR, makes provisions for you to have your data erased and removed. This is known as the 'right to erasure/ right to be forgotten'. When the data is held for the establishment, exercise or defence of legal claims we have the right to refuse to erase the data. For this reason, our insurers insist that we continue to hold your data for 3 years from the date of your most recent visit.


In the case of Under 18 year olds, this is extended to 3 years beyond their 18th birthday. If you make a written request for erasure of your data, this request will be logged and the data will be erased after the period above.





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.
supervising adult Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
supervising adult Date of Birth*
Date of Birth
supervising adult 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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