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COVID-19 Safety Agreement

April 27, 2024

To facilitate the return of climbing in Phase 3 of the Western Australian Governments four-phase Roadmap a number of changes are necessary to keep our community safe. The following conditions have been developed under guidelines from WHO, AIS and SCA in conjunction with current medical advice from State and National Government. These conditions are part of a wholisitic approach to minimise the spread of COVID-19 and every attempt has been made 

Conditions of participation;

  • Classes are limited to 20 participants at a time
    • This does not include instructors and staff
  • Hire gear is available for Phase 3 for shoes and harnesses only
    • Each piece of hire gear will be used once per day and removed from circulation for sanitising
    • We can not guarantee that hire gear will be available at all times due to cleaning requirements 
  • Loose chalk is not allowed to be used when climbing, alcohol based liquid chalks may be used
  • Social distancing measures must be adhered to at all times
    • A distance of 1.5m between climbers is mandatory; to ensure this, climbers must not climb on routes or problems in adjacent sections (as marked) at the same time​
  • Personal equipment must be used for lead climbing
    • City Summit will not be providing equipment for courses, those wishing to lead climb must bring personal equipment
    • Ropes must not be shared between multiple groups, participants must remain in the same pair for the duration of the class
    • Lead climbers must not place the rope in the mouth when clipping
  • No bags are permitted on the gym floor - all bags are to be kept in the designate storage areas
    • Personal items such as phones, wallets, keys and water bottles may be kept with you but we encourage you to leave them in your bags where possible
  • The water filter will not be available for refills at any time, please bring your own. Water and other drinks will be available for purchase at the cafe as usual

Personal hygiene best practices must be observed by all participants;

  • Thorough handwashing with soap and water or with alcohol-based hand-rub prior to each climb;
    • This does not include repeated attempts at a single climb but between attempts of different climbs
    • Hand wash stations will be available around the facility
  • If you need to cough or sneeze cover your face with your elbow or a clean tissue that can be disposed of immediately
  • The wearing of a face mask is optional
  • If you are feeling unwell or displaying flu like symptons please stay at home

Participation: By climbing at City Summit during this time I agree to adhere to the conditions as they have been set out in this agreement and in conjunction with the City Summit COVID-19 Safety Plan.

I Agree

To assist in the control and mitigation of further outbreaks in the community a record will be kept of all participants in the facility at any given time. Up to date contact information is key to facilitate quick and effective contact tracing in the event of a positive test result. The information you provide will be verified by a staff member upon attendance of your first class.

Contact Information: By participating in a class at City Summit during this time I acknowledge that the information I have provided is accurate and correct. I agree to have my information shared with Government, Police or Health Authorities should a formal request be made for the information in relation to a positive COVID-19 case being linked to City Summit for a period of one month.

I Agree

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*
Participant's 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*
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.
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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