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Climbing and Yoga Waiver

For adults (18 and older) and parents on behalf of their minor children.

 

AGREEMENT (1) FOR ACKNOWLEDGMENT OF RISK, (2) FOR WAIVER, DISCLAIMER, AND RELEASE OF LIABILITY, (3) NOT TO SUE, AND (4) FOR INDEMNITY

**IMPORTANT – PLEASE READ THE ENTIRE AGREEMENT**

 

YOU MUST CHECK "I AGREE" TO ALL SECTIONS OR WAIVER CANNOT BE SUBMITTED AND YOU CANNOT PARTICIPATE IN ACTIVITIES, OR USE THE GYM'S FACILITIES OR EQUIPMENT.

 

In consideration of the services of AZ on the Rocks - Indoor Climbing, Inc. and its representatives, I, on behalf of  myself and, jointly and severally, on behalf of my minor child(ren), if any is/are listed as participants below,  and on behalf of our respective heirs, personal representatives, spouse, next of kin, successors and assigns (hereinafter collectively “we”), hereby understand, acknowledge, and voluntarily agree with AZ on the Rocks - Indoor Climbing, Inc., its shareholders, officers, directors, employees, agents, contractors, representatives, insurers and/or landlords, and each of their successors and assigns (hereinafter collectively the "GYM") as follows:

CLIMBING, YOGA, TEAM-BUILDING, CAMP, EXERCISE, DANCE, BOOT CAMP, ZIPLINE, SLACKLINE,  RAPELLING AND OTHER ACTIVITIES AND USE OF THE GYM’S SERVICES, EQUIPMENT AND FACILITIES AT THIS LOCATION, ALL OTHER LOCATIONS AND ANY OFF-SITE LOCATIONS ENTAILS SIGNIFICANT RISKS, BOTH KNOWN AND UNKNOWN, WHICH COULD RESULT IN PHYSICAL OR EMOTIONAL INJURY, PARALYSIS, DEATH, OR DAMAGE TO US, TO PROPERTY AND/OR TO THIRD-PARTIES.   SUCH RISKS INCLUDE, AMONG OTHERS, (a) FALLS FROM THE CLIMBING SURFACE ONTO THE FLOOR, ROCK SURFACE, PROJECTIONS, PADS OR OTHER OBJECTS, (b) FALLING ONTO OTHERS PRESENT, (c) CLIMBERS OR OTHER OBJECTS (SUCH AS ROPES, HOLDS OR HARDWARE) FALLING ONTO US, (d) IMPROPER USE, INSTALLATION OR MAINTENANCE OF GEAR, EQUIPMENT AND/OR APPARATUSES, (e) GEAR AND EQUIPMENT DEFECTS OR MALFUNCTION, (f) FAILURE TO FOLLOW PROPER CLIMBING AND/OR BELAY PROCEDURES, (g) IMPROPER OR INSUFFICIENT TRAINING, SUPERVISION AND/OR INSTRUCTION, (h) ROPE ABRASION AND/OR ENTANGLEMENT, (i) CUTS AND ABRASIONS RESULTING FROM SKIN CONTACT WITH THE CLIMBING WALL,  (j) FAILURE OF ROPES, SLINGS, BOLTS, CHAINS, CLIMBING HARDWARE, ANCHOR POINTS, OR ANY PART OF THE CLIMBING WALL STRUCTURE;  (k)TWISTED OR BROKEN ANKLES, FEET AND OTHER BODY PARTS, MUSCLE, LIGAMENT AND/OR TENDON TEARS OR STRAINS, JOINT AND/OR SPINAL INJURY, SPRAINED NECK, ROTATOR CUFF INJURIES, HEAD INJURIES, STRAINING MUSCLES FROM OVER-STRETCHING, CONTACT WITH ANOTHER PARTICIPANT AND DIZZINESS, and (l) NEGLIGENCE OF BELAYERS, OTHER PARTICIPANTS, THIRD-PARTIES AND/OR THE GYM.  CLIMBING IS AN EXTREMELY HAZARDOUS AND DANGEROUS ACTIVITY AND INVOLVES BOTH INHERENT AND EXTRINSIC, AND BOTH NATURAL AND ARTIFICIAL RISKS.  These are not all of the risks associated with our participation in the activities, and the above list in no way limits the scope of this Agreement.  We also realize that climbing indoors is not the same as climbing outside, and that climbing outside requires additional training.  

I Agree

Our participation is entirely voluntary and with a full understanding that all such usage involves all manner of hazards and dangers.  We choose to participate in spite of the risks.  WE ACCEPT AND ASSUME ALL RISKS, BOTH KNOWN AND UNKNOWN, WHETHER CAUSED OR ALLEGED TO BE CAUSED BY THE NEGLIGENCE OR GROSS NEGLIGENCE OR OMISSIONS OF THE GYM.  

I Agree

We have a responsibility to ourselves and other users of the GYM, to conduct ourselves in a safe manner.  As directed by the GYM, we will watch the Gym’s basic climbing instruction video, participate in an orientation and/or receive basic instruction before climbing or belaying.   If we are unsure about how to safely engage in any activities at any time, we will ask GYM staff for further instruction BEFORE participating.  We are in good health and have no condition that will affect our safe participation in the activities, or else we assume and agree to bear the costs of all risks that may be created, directly or indirectly, by such condition.  We will not use the GYM while under the influence of drugs or alcohol or while in any other condition that might impair us.  We have adequate insurance to cover any injury or damage we may cause or suffer while participating in the activities, or else we agree to bear the costs of such injury or damage.  

I Agree

We use and accept items received from the GYM "AS IS" with no warranty, and participate in the activities and use the facilities and equipment at OUR OWN RISK.   The GYM has no responsibility for lost, damaged or stolen items.  

I Agree

WE HEREBY VOLUNTARILY AND KNOWINGLY FOREVER WAIVE, RELEASE, AND DISCHARGE AND AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE GYM FROM ANY AND ALL LIABILITIES, CLAIMS, DEMANDS, OR CAUSES OF ACTION WHATSOEVER FOR ANY HARM, LOSS, DAMAGE, PROPERTY DAMAGE, PERSONAL INJURIES OR DEATH ALLEGED TO BE CAUSED BY THE NEGLIGENCE OR GROSS NEGLIGENCE (but not intentional conduct) IN CONNECTION WITH OUR PRESENCE, PARTICIPATION IN THE ACTIVITIES AND/OR USE OF THE GYM’S FACILITIES OR EQUIPMENT.  

I Agree

WE UNDERSTAND THAT BY SIGNING THIS AGREEMENT, IF WE OR ANYONE ELSE IS HURT OR PROPERTY IS DAMAGED, AMONG OTHER THINGS, WE SHALL HAVE (a) NO CLAIMS WHATSOEVER AGAINST, (b) NO RIGHT TO SUE, AND (c) NO RIGHT TO RECOVER ANY DAMAGES OR OTHER COMPENSATION FROM THE GYM.  

I Agree

                   

We give the GYM permission to use our likenesses (photo or video) for promotional purposes, without compensation.  If any term or provision hereof is invalid, illegal or unenforceable, it shall be stricken only to the minimal extent necessary, and the remaining shall remain unimpaired.  No provision can be waived or changed in any way (notwithstanding any purported oral statement or change on this Agreement) except expressly in writing personally signed by an owner of the GYM.  All terms and paragraphs apply even if not initialed/checked.  This Agreement is governed by the laws of the State of Arizona.  This Agreement is irrevocable and has no expiration date.  

I Agree

We agree to abide by all of the following rules and all rules posted in the gym:  

I Agree

 

General Rules

- Everyone is responsible for their own safety.

- Don’t climb directly below or above other climbers; and watch out for falling climbers.

- Stand clear of fall and swing zones; and stay clear of climbing areas when not climbing.

- No climbing on top of the wall structures, except where and when permitted in the bouldering area.

- Don’t touch the fire sprinkler covers.

- Don’t grab, hang from or step on bolts or quick draws.

- No wire brushes to clean holds.

- No hip belays, munter hitches, swami belts etc..

- Right of way belongs to the first climber to start a route - others yield at a safe distance and do not begin climbing.

- Parents must supervise their children.

- No food or beverages allowed in climbing area- clear bottled water and “camelbacks with water” are OK.

- Place all personal belongings not in use in lockers or designated areas.  GYM is not responsible for lost/stolen items.

- No running

- No barefoot climbing.

- Rappel only during designated times and while under supervision of AZR staff.

- Helmets provided free upon request.

- No child under the age of 15 is allowed to be at the facility without adult supervision, unless approved by AZR and    he/she been through       the proper certification class

- If you have any questions or concerns, ask a staff member before climbing or belaying.

Top Rope Climbing Rules 

- Use only UIAA approved harness and locking carabiner, and follow manufacturer’s guidelines.

- Use only GriGri belay device, and know how to use it.

- Tie in using a Figure 8 Follow Through Knot with back up.

- Use floor anchors, anchored at the correct level, even if sitting down to belay.  Do not belay lying down.

- Before climbing check and recheck your and your partner’s harness, tie-in, anchor and carabiner.

- Do not top rope on designated lead only routes.

- Use the top rope that is closest to the final hold for the attempted route – avoid potential for wide swings.

- Stay on the designated route(s) for auto belays - avoid potential for wide swings if you fall off of the wall.

- No lead climbing without certification.

- No one under 15 belays without completing Youth Certification course and test.

- Auto belays: must clip in to harness before climbing; maximum weight is 330 lbs; re-clip to bolt on wall when done.

- No swinging.

Bouldering Rules

- Use and properly position crash pads, but crash pads do not guarantee an injury-free fall.

- Use a spotter, but spotters do not guarantee an injury-free fall.

- No one under 15 without parent supervision.

- Climbers may boulder outside of the bouldering area, but hands may not go above first quick draw.

Slackline Rules

- Please do not set up or adjust the slackline, ask the staff for assistance.

- No bouldering or climbing directly above the slackline.

- No swinging from the rope hanging over the slackline.

- No flips onto, off of or while on the slackline.

 

I HAVE HAD FULL OPPORTUNITY TO READ AND HAVE READ THIS ENTIRE AGREEMENT AND RULES, UNDERSTAND THEM AND AGREE, JOINTLY AND SEVERALLY, ON BEHALF OF MYSELF AND MY MINOR CHILD(REN), IF ANY ARE LISTED AS PARTICIPANTS BELOW, TO BE BOUND BY THEIR TERMS.  I REPRESENT AND AGREE THAT ANY MINOR CHILDREN I LIST AS PARTICIPANTS BELOW ARE, IN FACT, MY OWN MINOR CHILDREN OR CHILDREN OVER WHICH I HAVE BEEN APPOINTED AS LEGAL GUARDIAN BY A COURT AND, IF NOT, I AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE GYM FROM ANY/ALL CLAIMS, LOSS, DAMAGE, ATTORNEYS’ FEES AND/OR COSTS RELATED TO SUCH MINOR CHILD’S PARTICIPATION.  

I Agree

                  

Please choose for ANYONE participating in ANY activity, including holding the ropes!
Adult Minor(s) Adult and Minor(s)
1 Minor2 Minors3 Minors4 Minors5 MinorsMore Minors6 Minors7 Minors8 Minors9 Minors10 Minors
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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
11 Participant's Name

First Name*

Middle Name

Last Name*
11 Participant's Date of Birth
Participant's Address
Address Line1:*
Street address, P.O. box, company name, c/o
Address Line2:
Apartment, suite, unit, building, floor, etc.
City:*
State/Province:*
Zip/Postal:*
Country:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you hear about us?
Choose one
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.
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.


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