Individual Waiver
Content
RELEASE OF ALL CLAIMS, WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNIFICATION AGREEMENT ADULT
__________________________________________________________________________
CHILD
***INTERNET W AIVER***
________________________________________________________________________________
Print First Name
Middle Initial
Last Name
Print First Name
Middle Initial
Last Name
W AR N IN G , TH IS AG R E E M E N T IS LE G ALLY B IN D IN G . BY S IG N IN G IT , Y O U G IV E U P YO U R R IG H T T O R E C O V ER C O MP E N SA T IO N T H R O U G H TH E C O U R T S O R O TH E R W IS E , FO R A N Y P E R S O N A L IN JU R IE S O R D A M A G E T O YO U R P R O P E R T Y , O R FO R YO U R D E A T H , A R IS IN G O U T O F YO U R U S E O F T H E R O C K C LIM B IN G W A LLS O R E Q U IP M E N T , O R A R IS IN G O U T O F YO U R P A R T IC IP A TIO N IN C LA S SE S O R A C T IV IT IE S , IN C LU D IN G T R AN S P O R TA T IO N P R O V ID E D B Y V E R TIC A L E N D E A V O R S, S P O N SO R E D B Y V ER T IC A L E N D E A V O R S , IN C ., V E R T IC A L E N D E A V O R S -C H IC A G O , IN C ., V E R T IC A L E N D E A V O R S -D U L U T H , IN C . O R A N Y A FFILIA T E O R W H O LLY O W N E D S U B S ID IA R Y O F T H E S A M E (H E R E IN A FT E R C O LLE C TIV E LY R E FE R R E D T O A S “V E R TIC A L E N D E A V O R S ”.) Y O U W ILL B E R E LE A SIN G T H E LA N D LO R D O F V ER T IC A L E N D E A VO R S , A N Y P ER S O N S W H O H A V E D ESIGN E D, MA N U F A C T U R ED OR IN ST ALLED TH E FAC ILITIES , C LIM B IN G W ALLS O R EQ U IPM EN T O F VE R T IC AL EN D EA VO R S A N D AN Y PER SO N S U S IN G TH E C LIMBIN G W A LLS O R E Q U IP M E N T O F V E R T IC A L E N D E A VO R S . T H IS A G R E E ME N T IS B IN D IN G O N YO U , YO U R H E IR S , N E XT O F K IN , A SS IG N S , A N D P E R S O N AL R E P R E SE N TA T IV E S. T H IS AG R E E ME N T A LS O R EQ U IR E S YO U T O IN D E MN IFY A N D H O L D H A R M L E S S T H E P ER S O N S R E LE A SE D FR O M A N Y LO S S E S , LIA B ILIT IE S , D A M A G E S A N D C O S T S , IN C LU D IN G R E A S O N AB LE AT TO R N E YS ’ FE E S.
ASSUMPTION AND ACKNOWLEDGMENT OF RISK
WARNING: CLIMBING IS DANGEROUS!!! I, the undersigned, acknowledge and agree that the use of the facilities, climbing walls or equipment of Vertical Endeavors, and the taking of classes or participating in activities sponsored by Vertical Endeavors has INHERENT RISKS. Those risks include, but are not limited to the following: 1. Injuries or death resulting from the failure or negligent misuse of the facilities, climbing walls or equipment of Vertical Endeavors. 2. Injuries resulting from slips, trips, falls sustained, or the physical demands associated with the use of the facilities, climbing walls or equipment of Vertical Endeavors. 3. Injuries resulting from the swinging or fall of other persons who may come into contact with me or from any swinging or falls in which I come into contact with other persons. 4. Injuries that occur from the NEGLIGENCE or lack of adequate training of those volunteers or employees of Vertical Endeavors, who seek to assist with medical or other help either before or after injuries have occurred. 5. Injuries resulting from the failure of equipment used at Vertical Endeavors, including but not limited to, failure of ropes, slings, harnesses, belay devices, handholds, anchor points ,landing surface and its curbs, items left in landing surface and any other part of the climbing structure. 6. Injuries resulting from the NEGLIGENCE of the owners, operators, employees, or volunteer assistants of Vertical Endeavors, or the NEGLIGENCE of other climbers, visitors, or persons who may be present at Vertical Endeavors or the NEGLIGENCE of the designers, manufacturers or installers of the facilities, climbing walls or equipment, or the NEGLIGENCE of the landlord of Vertical Endeavors. I am aware of these and NUMEROUS OTHER INHERENT RISKS in using climbing facilities, climbing walls or equipment. I FREELY AND VOLUNTARILY ASSUME COMPLETE RESPONSIBILITY for these risks and for the injuries that may occur as a result of these risks EVEN IF injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be SOLELY RESPONSIBLE for any loss or damage I sustain, including PERSONAL INJURIES to me, damage to my PROPERTY, or damage arising out of my DEATH.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
RELEASE AND PROMISE NOT TO SUE
In consideration of my observing or using the facilities, climbing walls or equipment of Vertical Endeavors, and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I hereby agree to RELEASE FROM ALL LIABILITY, DISCHARGE, and PROMISE NOT TO SUE , Vertical Endeavors, or any officer, director, member, employee, volunteer, or agent of Vertical Endeavors or any other climber, visitor, or person present in or using the facilities, climbing walls or equipment of Vertical Endeavors. It is my express purpose to bind myself, my heirs, my administrators and my executors hereby. In consideration of my observing or using the facilities, climbing walls or equipment and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I also hereby agree to RELEASE FROM ALL LIABILITY, DISCHARGE, and PROMISE NOT TO SUE the designers, manufacturers or installers of the facilities, climbing walls or equipment of Vertical Endeavors or the landlord of Vertical Endeavors. This agreement releases the aforementioned persons from any liability to me, my heirs, or next of kin, assigns, or personal representatives, for any losses or damages or claims or demands arising out of my PERSONAL INJURIES, damage to my PROPERTY, or from my DEATH. If any provision of this Agreement is held invalid, the invalidity shall not affect other provisions of the Agreement which can be given effect without the invalid provisions, and to this end the provisions of the Agreement are to be severable. This Agreement shall be governed by the laws of the State of Minnesota.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
INDEMNIFICATION AGREEMENT
In consideration of my observing or using the facilities, climbing walls, or equipment of Vertical Endeavors, and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I agree to indemnify and hold harmless the persons RELEASED and DISCHARGED by me from any loss, liability, damages or cost, including reasonable attorneys’ fees, that they may incur due to the presence of any claims or actions by me, or by my heirs, next of kin, assigns, or personal representatives, arising out of my observing or using the facilities, climbing walls or equipment of Vertical Endeavors event.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
CLIMBING FACILITY RULES
The participant acknowledges that they have access to, and understand, the posted rules of the facility and agree to follow ALL rules of the climbing facility and to comply with the judgement of the climbing facility staff. Any infractions of the posted rules will result in loss of climbing privileges for that event.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
I H A V E R E A D TH IS A G R E E ME N T T H O R O U G H LY A N D U N D E R S T A N D T H E T E R MS . N O O R A L R E P R E SE N T A T IO N S O R S T A T E M E N T S O R IN D U C E ME N TS H A V E B EE N M A D E T O ME T H A T C H A N G E , A LT E R O R MO D IFY A N YT H IN G W IT H IN T H E W R IT T E N A G R E E M E N T . I A G R E E T O S A ID T E R M S . (A LT E R A T IO N S O R MO D IFIC A T IO N S T O T H IS D O C U M E N T A R E N O T A LLO W E D )
_________________________________________________________________________
______________________________________________________________________________________
Signature
(If participant is under 18, Parent/Legal G uardian m ust sign.)
Street
(Print)
I AM THE PARENT OR LEGAL GUARDIAN OF THE MINOR AND I AM SIGNING THIS RELEASE ON BEHALF OF THE MINOR.
___________________________________________
______________________________________________________________________________________
Date
___________________________________________ _______________
City Age Phone Number
(Print)
State
Zip
______________________________________________________________________________________
Participants Birth Date Emergency Contact Name
YES /
Phone Number
______________________________________________________________________________________
_____________________________________________________________________
Email Address
Do you know of, or have your been advised of, any medical conditions that the participant have that would prevent you from safely, participating in the activities of rock climbing and or belaying.
NO - If YES, please describe:_________________________________________________________________________________________________________________________
W aiver Type: D aily - Punchcard - Free P ass - Belay O nly - Lesson - Spectator - G roup C hap - Kids C am p - School - C hurch - Misc. - B-day - Scouts - O ther__________________ EMPLOYEE INITIAL ______________________ DATE ____________/_____________/_____________ ENTERED IN CLIMBERS EDGE BY __________________________
*Office use only*
T his d oc um e nt is the pro p erty o f V e rtic al E n de a vo rs, Inc ., V e rtic al E n de a vo rs-C hic ag o , Inc ., V e rtic al E n de a vo rs-D uluth, Inc ., a nd is p ro te cte d und e r U .S . c op yrig ht la w s a nd sho uld no t b e d up lic ate d /p ub lishe d in w ho le of p art w itho ut p erm issio n a nd is no t to be so ld or p ub lishe d fo r c om m e rc ia l g ain und e r a ny c irc um sta nc es .
__________________________________________________________________________
CHILD
***INTERNET W AIVER***
________________________________________________________________________________
Print First Name
Middle Initial
Last Name
Print First Name
Middle Initial
Last Name
W AR N IN G , TH IS AG R E E M E N T IS LE G ALLY B IN D IN G . BY S IG N IN G IT , Y O U G IV E U P YO U R R IG H T T O R E C O V ER C O MP E N SA T IO N T H R O U G H TH E C O U R T S O R O TH E R W IS E , FO R A N Y P E R S O N A L IN JU R IE S O R D A M A G E T O YO U R P R O P E R T Y , O R FO R YO U R D E A T H , A R IS IN G O U T O F YO U R U S E O F T H E R O C K C LIM B IN G W A LLS O R E Q U IP M E N T , O R A R IS IN G O U T O F YO U R P A R T IC IP A TIO N IN C LA S SE S O R A C T IV IT IE S , IN C LU D IN G T R AN S P O R TA T IO N P R O V ID E D B Y V E R TIC A L E N D E A V O R S, S P O N SO R E D B Y V ER T IC A L E N D E A V O R S , IN C ., V E R T IC A L E N D E A V O R S -C H IC A G O , IN C ., V E R T IC A L E N D E A V O R S -D U L U T H , IN C . O R A N Y A FFILIA T E O R W H O LLY O W N E D S U B S ID IA R Y O F T H E S A M E (H E R E IN A FT E R C O LLE C TIV E LY R E FE R R E D T O A S “V E R TIC A L E N D E A V O R S ”.) Y O U W ILL B E R E LE A SIN G T H E LA N D LO R D O F V ER T IC A L E N D E A VO R S , A N Y P ER S O N S W H O H A V E D ESIGN E D, MA N U F A C T U R ED OR IN ST ALLED TH E FAC ILITIES , C LIM B IN G W ALLS O R EQ U IPM EN T O F VE R T IC AL EN D EA VO R S A N D AN Y PER SO N S U S IN G TH E C LIMBIN G W A LLS O R E Q U IP M E N T O F V E R T IC A L E N D E A VO R S . T H IS A G R E E ME N T IS B IN D IN G O N YO U , YO U R H E IR S , N E XT O F K IN , A SS IG N S , A N D P E R S O N AL R E P R E SE N TA T IV E S. T H IS AG R E E ME N T A LS O R EQ U IR E S YO U T O IN D E MN IFY A N D H O L D H A R M L E S S T H E P ER S O N S R E LE A SE D FR O M A N Y LO S S E S , LIA B ILIT IE S , D A M A G E S A N D C O S T S , IN C LU D IN G R E A S O N AB LE AT TO R N E YS ’ FE E S.
ASSUMPTION AND ACKNOWLEDGMENT OF RISK
WARNING: CLIMBING IS DANGEROUS!!! I, the undersigned, acknowledge and agree that the use of the facilities, climbing walls or equipment of Vertical Endeavors, and the taking of classes or participating in activities sponsored by Vertical Endeavors has INHERENT RISKS. Those risks include, but are not limited to the following: 1. Injuries or death resulting from the failure or negligent misuse of the facilities, climbing walls or equipment of Vertical Endeavors. 2. Injuries resulting from slips, trips, falls sustained, or the physical demands associated with the use of the facilities, climbing walls or equipment of Vertical Endeavors. 3. Injuries resulting from the swinging or fall of other persons who may come into contact with me or from any swinging or falls in which I come into contact with other persons. 4. Injuries that occur from the NEGLIGENCE or lack of adequate training of those volunteers or employees of Vertical Endeavors, who seek to assist with medical or other help either before or after injuries have occurred. 5. Injuries resulting from the failure of equipment used at Vertical Endeavors, including but not limited to, failure of ropes, slings, harnesses, belay devices, handholds, anchor points ,landing surface and its curbs, items left in landing surface and any other part of the climbing structure. 6. Injuries resulting from the NEGLIGENCE of the owners, operators, employees, or volunteer assistants of Vertical Endeavors, or the NEGLIGENCE of other climbers, visitors, or persons who may be present at Vertical Endeavors or the NEGLIGENCE of the designers, manufacturers or installers of the facilities, climbing walls or equipment, or the NEGLIGENCE of the landlord of Vertical Endeavors. I am aware of these and NUMEROUS OTHER INHERENT RISKS in using climbing facilities, climbing walls or equipment. I FREELY AND VOLUNTARILY ASSUME COMPLETE RESPONSIBILITY for these risks and for the injuries that may occur as a result of these risks EVEN IF injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be SOLELY RESPONSIBLE for any loss or damage I sustain, including PERSONAL INJURIES to me, damage to my PROPERTY, or damage arising out of my DEATH.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
RELEASE AND PROMISE NOT TO SUE
In consideration of my observing or using the facilities, climbing walls or equipment of Vertical Endeavors, and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I hereby agree to RELEASE FROM ALL LIABILITY, DISCHARGE, and PROMISE NOT TO SUE , Vertical Endeavors, or any officer, director, member, employee, volunteer, or agent of Vertical Endeavors or any other climber, visitor, or person present in or using the facilities, climbing walls or equipment of Vertical Endeavors. It is my express purpose to bind myself, my heirs, my administrators and my executors hereby. In consideration of my observing or using the facilities, climbing walls or equipment and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I also hereby agree to RELEASE FROM ALL LIABILITY, DISCHARGE, and PROMISE NOT TO SUE the designers, manufacturers or installers of the facilities, climbing walls or equipment of Vertical Endeavors or the landlord of Vertical Endeavors. This agreement releases the aforementioned persons from any liability to me, my heirs, or next of kin, assigns, or personal representatives, for any losses or damages or claims or demands arising out of my PERSONAL INJURIES, damage to my PROPERTY, or from my DEATH. If any provision of this Agreement is held invalid, the invalidity shall not affect other provisions of the Agreement which can be given effect without the invalid provisions, and to this end the provisions of the Agreement are to be severable. This Agreement shall be governed by the laws of the State of Minnesota.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
INDEMNIFICATION AGREEMENT
In consideration of my observing or using the facilities, climbing walls, or equipment of Vertical Endeavors, and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I agree to indemnify and hold harmless the persons RELEASED and DISCHARGED by me from any loss, liability, damages or cost, including reasonable attorneys’ fees, that they may incur due to the presence of any claims or actions by me, or by my heirs, next of kin, assigns, or personal representatives, arising out of my observing or using the facilities, climbing walls or equipment of Vertical Endeavors event.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
CLIMBING FACILITY RULES
The participant acknowledges that they have access to, and understand, the posted rules of the facility and agree to follow ALL rules of the climbing facility and to comply with the judgement of the climbing facility staff. Any infractions of the posted rules will result in loss of climbing privileges for that event.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
I H A V E R E A D TH IS A G R E E ME N T T H O R O U G H LY A N D U N D E R S T A N D T H E T E R MS . N O O R A L R E P R E SE N T A T IO N S O R S T A T E M E N T S O R IN D U C E ME N TS H A V E B EE N M A D E T O ME T H A T C H A N G E , A LT E R O R MO D IFY A N YT H IN G W IT H IN T H E W R IT T E N A G R E E M E N T . I A G R E E T O S A ID T E R M S . (A LT E R A T IO N S O R MO D IFIC A T IO N S T O T H IS D O C U M E N T A R E N O T A LLO W E D )
_________________________________________________________________________
______________________________________________________________________________________
Signature
(If participant is under 18, Parent/Legal G uardian m ust sign.)
Street
(Print)
I AM THE PARENT OR LEGAL GUARDIAN OF THE MINOR AND I AM SIGNING THIS RELEASE ON BEHALF OF THE MINOR.
___________________________________________
______________________________________________________________________________________
Date
___________________________________________ _______________
City Age Phone Number
(Print)
State
Zip
______________________________________________________________________________________
Participants Birth Date Emergency Contact Name
YES /
Phone Number
______________________________________________________________________________________
_____________________________________________________________________
Email Address
Do you know of, or have your been advised of, any medical conditions that the participant have that would prevent you from safely, participating in the activities of rock climbing and or belaying.
NO - If YES, please describe:_________________________________________________________________________________________________________________________
W aiver Type: D aily - Punchcard - Free P ass - Belay O nly - Lesson - Spectator - G roup C hap - Kids C am p - School - C hurch - Misc. - B-day - Scouts - O ther__________________ EMPLOYEE INITIAL ______________________ DATE ____________/_____________/_____________ ENTERED IN CLIMBERS EDGE BY __________________________
*Office use only*
T his d oc um e nt is the pro p erty o f V e rtic al E n de a vo rs, Inc ., V e rtic al E n de a vo rs-C hic ag o , Inc ., V e rtic al E n de a vo rs-D uluth, Inc ., a nd is p ro te cte d und e r U .S . c op yrig ht la w s a nd sho uld no t b e d up lic ate d /p ub lishe d in w ho le of p art w itho ut p erm issio n a nd is no t to be so ld or p ub lishe d fo r c om m e rc ia l g ain und e r a ny c irc um sta nc es .
