AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
 
In consideration of being allowed to participate in any way in the Peaks Indoor Rock Climbing Club athletic/sport programs, related events and activities, the undersigned acknowledge, appreciates and agrees that:
 
1.  ASSUMPTION OF RISK; I hereby acknowledge, accept, and agree that the sport of rock climbing and the use of PEAKS INDOOR ROCK CLIMBING CLUB climbing wall involve inherent risks, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
 
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, assume full responsibility for my participation and,
 
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation's I will remove my self from participation and bring such to attention of the nearest official immediately;
 
4. I, for my self and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS PEAKS INDOOR ROCK CLIMBING CLUB, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ("releasees") with respect to any and all injury, disability, death,  loss or damage to person or property, whether caused by the negligence of the releasees or otherwise.
 
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.
 
X______________________                ___________________________
      Participants signature                                 Date signed
 
 Name, printed clearly                            ______________________________________
 
Date of Birth                                           ______________________________________
 
Address                                                 ______________________________________
 
City/Prov./Post.Code                            _______________________________________
 
Telephone                                             _______________________________________
 
In case of Emergency Call                     _______________________________________
 
Have you had any formal training?         _______________________________________
 
How did you find out about PEAKS?   _______________________________________
 
FOR PARTICIPANTS OF MINORITY AGE    (Under age of 16 at time of registration)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above
 
X_______________________            ___________________                          ________________
                Parent/Guardian's                      Emergency phone #                                  Date signed
                signature
 

HELMET WAIVER

I, the undersigned, recognize the dangers inherent with climbing activities. I am assuming the hazard of risk upon my myself since I wish to climb. I realize I am subject to injury from this activity and that no form of preplanning can remove all of the danger to which I am exposing my self. I have been offered a protective helmet, which could have prevented permanent brain damage in the event of the accident. Against the advice of the guide, and the insurance company, I am refusing this critical safety precaution. I, the undersigned, have read and understand the above

 

____________________                                                       _______________________

Participants signature                                                            Date signed