Registration Release Form - Solid Rock Climbers For Christ printable pdf download

MOUNTAINEERING ROCK CLIMBING AND INDOQR CLIMBING RELEASE OF

LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISK AND

INDEMNITY AGREEMENT.

Please read and be begin you understand the implications of signing.

Express Assumption of Risk Associated with Mountaineering, Climbing, and Related

Activities.

I, __________________________________ do hereby affirm and acknowledge that I has

been fully informed of the inherent hazards and risks associated with Mountaineering,

Rock Climbing, and Indoor Climbing Activities, transportation of equipment related to

the activities and traveling to and from activity sites of which I am about to engage in.

Inherent hazards and risks include but are not limited to:

1. Risk of injury from the activity and equipment utilized in Mountaineering, Rock

Climbing, and Indoor Climbing Activities is significant including the potential for

permanent disability and death.

2. Possible equipment failure and/or malfunction of my own or others’ equipment.

3. My own negligence and/or negligence of others, inducing employees, agents,

independent contractors representatives or members of Solid Rock – Climbers for Christ

including but not limited to operator error.

4. Injury to hands, fingers, feet and toes, including but not limited to inflammation and/or

strain of muscles, ligaments and/or tendons, nerve damage or compression, and broken

bones.

5. Injury from falling may occur from exposure to high altitude, which may affect

judgment and coordination, or from not paying close attention to your climbing or other

climbers with or near you.

6. Broken bones, severe injures to the head, neck and back which may result in severe

physical impairment or even death.

7. Discharge of weapons in or near area of activity.

8. Cold weather and heat relate injuries include but at limited to frostnip, frost bite, heat

exhaustion, heat stroke, sunburn, hypothermia and dehydration.

9. Exposure to outdoor elements, including but not limited to avalanche, rock fall,

inclement weather, thunder and lighting, severe and varied wind, temperature or weather

conditions.

10. Attack by or encounter with insects, reptiles and/or animals

11. Accidents or illness occurring in remote places where there are no available medical

facilities.

12. Fatigue chill and/or dizziness which may diminish my/our reaction time and increase

the risk of accident.

13. My sense of balance, physical coordination, and ability to follow instructions.

* I understand the description of these risks is not complete and that unknown or

unanticipated risks may result in injury, illness, or death.

Release of Liability, Waiver of Claims and Indemnity Agreement

In consideration for being permitted to participate in any way in Mountaineering, Rock

Registration Release Form - Solid Rock Climbers For Christ