Registration,
Release & Acknowledgment of Risk form
In consideration of the services of Sierra Rock
Climbing School, Inc, their agents, owners, officers, volunteers,
participants, employees, contractors and all divisions or departments of Sierra Rock
Climbing School, Inc, including the Castle
Rock Climbing School, and all other persons or entities acting in any
capacity on Castle Rock Climbing School's and Sierra Rock Climbing School,
Inc.’s behalf, (hereinafter collectively referred to as "SRCS"), I
hereby agree to release and discharge SRCS, on behalf of myself, my children, my
parents, my heirs, assigns, personal representative and estate as follows:
1. I acknowledge that backpacking, mountain biking, rock
climbing, ice climbing, mountaineering, fishing, and hiking entail known and unanticipated
risks, which could result in physical or emotional injury, paralysis, death, or
damage to myself, to property, or to third parties. I understand that such risks
simply cannot be eliminated without jeopardizing the essential qualities of the
activity. a) The risks include, among other things; the nature of the activity
itself, use or operation of equipment supplied by SRCS, weather conditions,
contact with plants or animals, my own physical condition, conditions of the
trails, roads, waterways, or terrain, first aid, emergency treatment or other
services rendered, consumption of food or drink. b) SRCS guides have difficult
jobs to perform. They seek safety, but they are not infallible. They might be
ignorant of a participant's fitness or abilities. They might misjudge the
weather, the elements, or the terrain. They may give inadequate warnings or
instructions, and the equipment being used might malfunction.
2. I expressly agree and promise to accept and assume all
of the risks existing in this activity. My participation in this activity is
purely voluntary, and I elect to participate in spite of the risks.
3. I hereby voluntarily release, forever discharge, and
agree to indemnify and hold harmless SRCS from any and all claims, demands, or
causes of action, which are in any way connected with my participation in this
activity or my use of SRCS's equipment or facilities, including any such claims
which allege negligent acts or omissions of SRCS.
4. Should SRCS or anyone acting or their behalf, be
required to incur attorney's fees and costs to enforce this agreement, I agree
to indemnify and hold them harmless for all such fees and costs.
5. I certify that I have adequate insurance to cover any
injury or damage I may cause or suffer while participating, or else I agree to
bear the costs of such injury or damage myself. I further certify that I have no
medical or physical conditions which could interfere with my safety in this
activity, or else I am willing to assume and bear the costs of all risks that
may be created, directly or indirectly, by any such condition.
6. This agreement shall in all respects be interpreted,
enforced and governed under the laws of the state of California applicable to
agreements entered into and to be performed entirely in California. If any term,
covenant or condition of this agreement or the application thereof to any person
or circumstance shall be held to be invalid or unenforceable by a court of
competent jurisdiction, the remainder of this agreement or the application of
such terms or provisions to persons or circumstances other than those to which
it is held invalid or unenforceable shall not be effected thereby, and each term
shall be valid and enforceable to the fullest extent permitted by law.
7. By signing this document, I acknowledge that if anyone
is hurt or property is damaged during my participation in this activity, I may
be found by a court of law to have waived my right to maintain a lawsuit against
SRCS on the basis of any claim from which I have released them herein. I have
had sufficient opportunity to read this entire document. I have read and
understood it, and I agree to be bound by its terms.
Signature:_________________________________________________Date:_________________
Name:_______________________________________________________________________
Home Address:________________________________________________________________
Emergency Contact & phone #___________________________________________________
E-Mail:______________________________________________________________________
Past five years of Medical History: prescriptions, injuries, allergies, limitations,
surgery or other?
For Participants
Under 18 Years of Age
Parent's or Guardian's Additional Indemnification (parent
to complete)
In consideration of (minor's name)
______________________________________________ being permitted by (your name)
_________________________________to participate in its activities and to use its
equipment and facilities, I further agree to indemnify and hold harmless SRCS
from any and all claims which are brought by, or on behalf of minor, and which
are in any way connected with such use or participation of minor.