Acknowledgement, Waiver & Release from Liability Agreement

Participant Name(Required)
Participant Date of Birth(Required)

SAFETY POLICIES AND PROCEDURES OF ROCK GEM CLIMBING CENTER, LLC.

  • The following are the Safety Policies and Procedures of Rock Gem Climbing Center, LLC. They are not all inclusive, and the user of the Rock Gem Climbing Center LLC facility recognizes that they have responsibility to conduct themselves and any and all persons under their control or supervision, including minor children, in a proper, courteous and safe manner during all times they are on the Rock Gem Climbing Center LLC property.
  • In consideration for the use of the Rock Gem Climbing Center LLC facility and equipment, you agree to accept full responsibility for your own safety and the safety of others while on the premises and to abide by and help enforce the following Safety Policies and Procedures.
  • All persons using or being a spectator of the Rock Gem Climbing Center LLC facility shall have signed an Acknowledgement, Waiver & Release from Liability Agreement and, if requested to gain access to the facility, present photo identification.
  • Each new belayer of the facility shall be required to demonstrate safe belaying and tie-in/ clipping into locking carbineer techniques to an authorized instructor of Rock Gem Climbing Center LLC. Only approved climbers/spectators will be allowed in the climbing area. New belayers shall take a training session and be qualified by an authorized instructor of Rock Gem Climbing Center LLC before receiving approval for belaying.
  • No unbelayed climbing over sixteen (16) feet above the landing zone shall be permitted. Failure to strictly comply with this policy may result in immediate expulsion from the facility and withdrawal of any future climbing privileges.
  • Climbing above the sixteen (16) feet restriction over the landing zone on the outer walls shall be roped and belayed using an approved belay device. All rope climbers and belayers shall wear approved harnesses.
  • All toprope climbers must clip their locking carabineers properly into the figure eight knot and the climbers harness before climbing.
  • Lead climbers and their belayers both must demonstrate the proper understanding of leading and belaying techniques to an authorized instructor of Rock Gem Climbing Center LLC before using the lead route wall.
  • All users of the Rock Gem Climbing Center LLC facility have an affirmative duty to inform employees of Rock Gem Climbing Center LLC as well as fellow climbers/belayers/spectators of any situation seen as unsafe or not in compliance with these Safety Policies and Procedures. All climbers shall assist and encourage less experienced climbers.
  • All accidents, equipment damage or failures, shall be reported to an employee of Rock Gem Climbing Center LLC, immediately.
  • Rock Gem Climbing Center LLC reserves the right to deny access to its facilities to any person permanently or for a specific period of time for any breach of this agreement or failure to strictly adhere to the Safety Policies and Procedures or for any conduct that is viewed as unsafe, inappropriate or unhealthy, including, but not limited to, horseplay, foul or rude language or defiance of a Rock Gem Climbing Center LLC employee's request.
  • Rock Gem Climbing Center LLC is a Drug, Tobacco and Alcohol Free Zone for all persons.
  • All images on film or photographs taken by or given to Rock Gem Climbing Center LLC becomes the property of Rock Gem Climbing Center LLC and may be used for promotional or commercial purposes. To the fullest extent allowed by law, I, on behalf of myself and/or on behalf of any minor children, do hereby waive any rights of publicity or privacy that I/we may have in my/our name or
    likeness.
  • The participant certifies on behalf of him/herself and/or any minor children for which they are responsible that the participant is physically and mentally capable of participating in the activity and/or using the equipment. If additional assistance is necessary, it is the participant’s responsibility to notify Rock Gem Climbing Center LLC staff of special needs.
Clear Signature
I, Parent/Legal Court Appointed Guardian of acknowledge reading and agreeing with Rock Gem Climbing Center waiver . I release Rock Gem Climbing from any liability.