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Of Rock and Chalkltd
Indoor Rock Climbing
482 Ontario Street, Newmarket, Ontario L3Y 2K7
Phone: 905-895-7625   Toll Free: 1-888-248-7625
Email info@rockandchalk.com

Acknowledgement of Hazard, assumption of risk and waiver of liability: In consideration of my being allowed to use Of Rock and Chalk Ltd. climbing walls and related facilities every visit I make, I, the undersigned, hereby agree to and acknowledge the following:

Assumption of Risk: I, the undersigned, acknowledge and agree that observing or participating in the activities sponsored and or offered by Of Rock and Chalk Ltd. has inherent risks, including but not limited to lead climbing, lead belaying, top roping, bouldering.  These risks include but are not limited to:

  • All manner of injury resulting from my falling off or from the climbing wall and hitting the floor, wall faces, people or rope projections, whether permanently or temporarily in place;
  • Rope abrasions, entanglement and other injuries resulting from activities on or near the climbing wall including, but not limited to, climbing, belaying, rappelling, lowering on ropes, rescue systems, and any other rope techniques;
  • Injuries resulting from falling climbers or dropped items, including, but not limited to, ropes and climbing hardware;
  • Cuts and abrasions resulting from skin contact with the climbing wall or any other surfaces;
  • Failure of ropes, slings harnesses or climbing holds
  • Failure to follow Of Rock and Chalk Ltd. instructions or failure to ask for information;
  • Ill chosen belayer.

Release: I hereby release and discharge Of Rock and Chalk Ltd., its owners, affiliates, agents, employees, volunteers, and landlords, and their successors and assigns, from any and all liabilities, suits, claims, and demand actions or damages (including attorney fees and disbursements) incurred by me arising out of the use or intended use of the climbing walls, including without limitation all claims for property damage, personal injuries or wrongful death.  This release is binding on my heirs, assigns, and agents. 

Indemnification: I hereby agree to indemnify and hold harmless Of Rock and Chalk Ltd., its owners agents, employees, volunteers, and landlords, and their successors and assigns from any and all causes of action, claims, demands, losses and costs of any nature whatever arising out of or in any way relating to my use of the climbing facility.  This indemnification is binding on my heirs, assigns and agents. 

Agreement to follow safety policies:  I accept full responsibility for my own safety while on the premises of Of Rock and Chalk Ltd. Or its affiliates.  I agree to abide by and help to enforce the following safety policies:

  • Unbelayed climbing is prohibited except in designated Bouldering Areas.  Bouldering is permitted below the 10 foot level.
  • Climbers assume full responsibility for their own climbing gear used in Of Rock and Chalk Ltd. including but not limited to, ropes, harnesses, belay devices, carabiners, quick draws, and bolt hangers.
  • Climbers will belay only when knowledgeable and experienced at belaying, having been certified by Of Rock and Chalk Ltd.
  • Climbers will tie the rope directly into their harness with a figure eight follow through knot with a fisherman’s safety knot.
  • Climbers must inform Of Rock and Chalk Ltd. and all other climbers of any situation seen as unsafe or not in accordance with the Safety Policies.
  • All accidents or equipment damage must be reported immediately
  • I acknowledge that the option not to wear a helmet may expose me, as a climber, to increased risks.
  • Of Rock and Chalk Ltd. reserves the right to deny access to its facilities to any individual permanently or for a specified period of time for any breach of any of the Safety Policies, or for any conduct that is viewed as unsafe or inappropriate.​

Section A: for Climbers who are 18 years of age or older:

I am the full age of 18 years.  I am executing this release and waiver of liability freely and voluntarily.  I acknowledge that I have read this entire agreement prior to signing it.  Intending to be legally bound I have signed this Acknowledgement of Hazard, Assumption of Risk and Waiver of Liability this day of May 20, 2024. 

First Participants/Spectators Name

First Name*

Last Name*

Phone*
First Participants/Spectators Date of Birth*
First Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
First Participants/Spectators Signature*
Second Participants/Spectators Name

First Name*

Last Name*
Second Participants/Spectators Date of Birth*
Second Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Third Participants/Spectators Name

First Name*

Last Name*
Third Participants/Spectators Date of Birth*
Third Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Fourth Participants/Spectators Name

First Name*

Last Name*
Fourth Participants/Spectators Date of Birth*
Fourth Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Fifth Participants/Spectators Name

First Name*

Last Name*
Fifth Participants/Spectators Date of Birth*
Fifth Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Sixth Participants/Spectators Name

First Name*

Last Name*
Sixth Participants/Spectators Date of Birth*
Sixth Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Seventh Participants/Spectators Name

First Name*

Last Name*
Seventh Participants/Spectators Date of Birth*
Seventh Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Eighth Participants/Spectators Name

First Name*

Last Name*
Eighth Participants/Spectators Date of Birth*
Eighth Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Ninth Participants/Spectators Name

First Name*

Last Name*
Ninth Participants/Spectators Date of Birth*
Ninth Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Tenth Participants/Spectators Name

First Name*

Last Name*
Tenth Participants/Spectators Date of Birth*
Tenth Participants/Spectators Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
Participants/Spectators 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:*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Section B: to be signed by parent/legal guardian of Climber under 18 years of age. In consideration of the use of climbing walls and equipment at Of Rock and Chalk Ltd. for every visit by our child/ward we the parents/legal guardians of minor(s) agree to indemnify and save harmless Of Rock and Chalk Ltd. against and from all actions, damages, claims, and demands which may hereafter be brought against Of Rock and Chalk Ltd. by or on behalf of our said child/ward in respect of or arising out of any accident that may occur from our child/ward’s use of the facility. I acknowledge that I have read this entire agreement prior to signing it. Intending to be legally bound I have signed this Acknowledgement of Hazard, Assumption of Risk and Waiver of Liability on the date 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*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Day Camp Extra Information (for Minor participants only):


Allergies:

Medications:

Health Card Number:

Who will be picking your child up:

Any custody issues we should be aware of:
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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