Instructions for filling out the waiver form:

    All waivers must be signed and filled out completely in order to climb. Please take the time to read and understand the content on the waiver form before signing. Participants under the age of 19 must have the waiver filled out and signed by a parent or legal guardian. Forms signed by anyone other than the minor’s parent or guardian will not be accepted. If signing for a minor, please complete the minor's personal information clearly in the top section of the form, and complete the minor's name on the bottom of the form. Incomplete, unsigned or fraudulent forms will not be accepted.

    Registration and Waiver form

    Your Name (required)

    Your Birthdate

    Phone Number

    Emergency Contact

    Address

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    RELEASE OF LIABILITY WAIVER, WAIVER OF CLAIMS, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

    PLEASE NOTE THAT SIGNING THIS AGREEMENT; YOU GIVE UP THE RIGH TO SUE FOR ANY INJURY OR DAMAGES, HOWEVER CA-- USED

    To: High Performance Climbing Walls, (“the Company”) and its director, officers, employees, representatives and agents (collectively called“the Agents”).

    I agree as precondition to my participation in all events organized by “the Company” and/or “the Agents” including but not limited to indoor rock climbing (referred to as “the Activities”) and in further consideration of “the Company” allowing me to do so, that I will strictly be bound by the terms of this Release of Liability, Waiver of Claims, Assumption of Risk and Indemnity Agreement (“the Agreement)
    I acknowledge that “the Activities” involve inherent risk and dangers that may cause serious injury and possible death to participants.
    I fully understand the risks and dangers associated with my participation in “the Activities” and accept same entirely at my own risk.
    I agree to abide by the rules and policies outlined in my orientation and posted within the Company’s facility
    hereby waive any and all claims which I may have against “the Company” and “the Agents” and release “the Company” and “the Agents” from all liability for injury, death, property damage or any other loss sustained by me as a result of my participation in “the Activities”, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care by “the Company” and/ or “the Agents”
    I appreciate that “the Agreement” limits the liability of “the Agents” to the same extent as it limits the liability of “the Company”, even though “the Agents” are not formal parties to “the Agreement”.

    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.

    *Please note, participants under 18 must sign the form in person. A PDF version of the for can be found here.