Release of Liability and Idemnity Form
River Rock Release of Liability and Assumption of Risk Last Name First Name Middle Name Date of Birth Address City State Zip Code Cell Phone Home Phone Work Phone Email Address May we email you about events or special deals? □ Yes □ No Emergency Contact Name Emergency Contact Phone The undersigned individual desires to use the River Rock Climbing, LLC (“RRC”) rock climbing gym (the “Facility”). Use of the Facility may include, without limitation, formal or informal instruction by RRC staff, participation in clinics, classes, courses, camps, programs, competitions and/or any other activities occurring in the Facility and/or sponsored, organized, managed, operated or run by RRC. In consideration of RRC permitting me to use the Facility, I hereby execute this Release of Liability, Indemnification and Assumption of Risks (the“Release”). I acknowledge that using the Facility involves certain inherent risks, including, but not limited to, Sprains, strains, broken bones and other musculoskeletal injuries; Cuts, burns and abrasions; Head trauma; Broken necks; Death; and Other forms of serious personal and property injury or damage. The accidents can occur as a result of accidents, equipment failures, personal inattention of myself or others (including staff), the neglect of myself or others (including staff) or other causes. I hereby assume all such risks, as well as any other risks involved in using the Facility, at any time, whether or not under the supervision of RRC staff. I hereby release, discharge and covenant not to sue RRC, its
[Show full text]