Rock Climbing Wall Waiver

Rock Climbing Waiver of Liability/Assumption of Risk

PARTICIPANT INFORMATION

Participant Name(Required)

First Last

Email(Required)

Parent/Guardian if participant is under 18.

Primary Phone(Required)

Parent/Guardian if participant is under 18.

Date of Birth(Required)

Participant is under 18 years of age.(Required)

Yes

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

EMERGENCY CONTACT

Name(Required)

First Last

Phone(Required)

WAIVER AND RELEASE

Parent/Guardian Name(Required)

First Last

Consent(Required)

In Consideration of my being permitted by LONG TRAIL SCHOOL to use its facilities, I agree to the following waiver and release.

I, the participant, agree to IDEMNIFY AND HOLD HARMLESS LONG TRAIL SCHOOL and I make the following representations: I understand that there are extreme risks in climbing/adventure activities at natural climbing/adventure areas and indoor climbing facilities. I further acknowledge and agree that those risks include but are not limited to:

1. Inattentive belayers and other bad decision making, by myself or those I am climbing with.
2. All manner of injuries resulting from hitting projections, permanent or temporary, or the ground.
3. Injuries resulting from hitting falling people or other dropped items.
4. Cuts, abrasions, and other wounds resulting from skin contact with center walls and projections.
5. Rope abrasion, entanglement, and other injuries resulting from activities inside the center or at natural rock climbing/adventure areas.
6. Rock/Ice fall, falling items, bee stings, lightning strikes, sun burn, slips, twisted ankles, and other similar injuries.

I further understand that the above in no way limits the extent or reach of this release and covenant not to sue. I agree to assume all risk of personal injury including, but not limited to: broken bones, paralysis, and death that may occur while I am in the center or at natural climbing/adventure areas. I hereby release LONG TRAIL SCHOOL, its owners, officers, employees, wall builders, wall designers, hold manufacturers, lessors, insurers, and agents harmless from all liability for any personal injury that I may incur. I agree to pay attention to the state of the ropes in the center and that of the anchors, and to advise center staff if I do any damage, or notice any damage. I agree to abide by all Center and staff rules and comply with any request of Center staff. I also understand indoor climbing is not the same as outdoor climbing, and that additional skills are necessary for outdoor climbing that cannot be acquired in the center.

I am physically fit and know of no medical or health reason why I should not participate in the activities that take place at the Center or at natural rock climbing areas. If there is any preexisting disability, I will bring it to the attention of the Center’s staff. (Those with disabilities will be accommodated to the best ability by the Center’s staff.) I know of no medical health reason why any minor I am signing this release for should not participate.