Rock Climbing Gym Waiver

Participant Information

Full Name Date of Birth Email Address

Emergency Contact

Contact Name Relationship Phone Number

Waiver & Release

I acknowledge that participation in rock climbing, bouldering, and related activities carries inherent risks including the risk of injury or death. I voluntarily assume all risks associated with these activities and agree to release the gym, its staff, and owners from any liability.

Signature

Participant Signature Date

If under 18 years of age, parent/guardian must complete:

Parent/Guardian Name Parent/Guardian Signature Date