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In Consideration of my being permitted by GREEN MOUNTAIN ROCK CLIMBING CENTER, and VERMONT ADVENTURE TOURS (hereafter Center) to use its facilities, and or natural rock climbing areas, I agree to the following waiver and release. I, the undersigned user, agree to IDEMNIFY AND HOLD HARMLESS Green Mountain Rock Climbing Center and I make the following representations:

I understand that there are extreme risks in rock climbing activities at natural rock climbing areas and indoor climbing facilities. I further acknowledge and agree that those risks include but are not limited to:
1. Inattentive belayers and other bad decision making, by myself or those I am climbing with.
2. All manner of injuries resulting from hitting projections, permanent or temporary, or the ground.
3. Injuries resulting from hitting falling people or other dropped items.
4. Cuts, abrasions, and other wounds resulting from skin contact with center walls and projections.
5. Rope abrasion, entanglement, and other injuries resulting from activities inside the center or at natural rock climbing areas.
6. Rock fall, falling items, bee stings, lightning strikes, sun burn, slips, twisted ankles, and other similar injuries.
I further understand that the above in no way limits the extent or reach of this release and covenant not to sue.

I agree to assume all risk of personal injury including, but not limited to: broken bones, paralysis, and death that may occur while I an in the center, or at natural rock climbing areas. I hereby release Green Mountain Rock Climbing Center, its owners, officers, employees, wall builders, wall designers, hold manufacturers, lessors, insurers, and agents harmless from all liability for any personal injury that I may incur.

I agree to pay attention to the state of the ropes in the center and that of the anchors, and to advise center staff if I do any damage, or notice any damage. I agree to abide by all Center and staff rules and comply with any request of Center staff. I also understand indoor climbing is not the same as outdoor climbing, and that additional skills are necessary for outdoor climbing that cannot be acquired in the center.

I am physically fit and know of no medical or health reason why I should not participate in the activities that take place at the Center or at natural rock climbing areas. If there is any preexisting disability, I will bring it to the attention of the Center’s staff. (Those with disabilities will be accommodated to the best ability by the Center’s staff.) I know of no medical health reason why any minor I am signing this release for should not participate.

Parents & Guardians
If I am a parent or guardian of a minor climbing at the Center or at a natural rock climbing area, whether or not I am a member myself, or am present when the minor is climbing, I agree to indemnify and hold harmless Green Mountain Rock Climbing Center and all other parties released, in the event a minor member of my family sues them or any one of them. I understand that this means I will pay all fees, costs, and charges incurred by the Green Mountain Rock Climbing Center or any other parties released, including attorney fees.

This release applies to and binds my personal representatives, executors, heirs, and family. If a member of my family under the age of 18 accompanies me to the Center, I make this release and these representations of his or her behalf as well as my own and agree to assume responsibility for his or her safety.

This release is a binding legal contract.
I am over (18) years of age. If I am not over (18) years of age, my parent or legal guardian has also read and signed this release. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability. I understand that this release is a contract. I sign it of my own free will. I also understand that this contract is severable, in other words, that if any part of this contract is held by a court of law to be unenforceable, the rest of the contract shall survive.

Please Print and write clearly
Signature of Participant ______________________________________ Birth Date ___/___/___

Participant’s Name Clearly Printed ___________________________ Phone (____)____________

Parent/Legal Guardian’s Signature, if participant is under 18 _____________________________

Participant’s Address_____________________________________ E-Mail___________________

City _____________________ State ________ Zip ____________ Today’s Date ____/____/____