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Print First Name Middle Initial Last Name Print First Name Middle Initial Last Name
W AR N IN G , TH IS AG R E E M E N T IS LE G ALLY B IN D IN G . BY S IG N IN G IT , Y O U G IV E U P YO U R R IG H T T O R E C O V ER C O MP E N SA T IO N T H R O U G H TH E C O U R T S O R O TH E R W IS E ,
FO R A N Y P E R S O N A L IN JU R IE S O R D A M A G E T O YO U R P R O P E R T Y , O R FO R YO U R D E A T H , A R IS IN G O U T O F YO U R U S E O F T H E R O C K C LIM B IN G W A LLS O R E Q U IP M E N T ,
O R A R IS IN G O U T O F YO U R P A R T IC IP A TIO N IN C LA S SE S O R A C T IV IT IE S , IN C LU D IN G T R AN S P O R TA T IO N P R O V ID E D B Y V E R TIC A L E N D E A V O R S, S P O N SO R E D B Y V ER T IC A L
E N D E A V O R S , IN C ., V E R T IC A L E N D E A V O R S -C H IC A G O , IN C ., V E R T IC A L E N D E A V O R S -D U L U T H , IN C . O R A N Y A FFILIA T E O R W H O LLY O W N E D S U B S ID IA R Y O F T H E S A M E
(H E R E IN A FT E R C O LLE C TIV E LY R E FE R R E D T O A S “V E R TIC A L E N D E A V O R S ”.) Y O U W ILL B E R E LE A SIN G T H E LA N D LO R D O F V ER T IC A L E N D E A VO R S , A N Y P ER S O N S W H O
H A V E D ESIGN E D, MA N U F A C T U R ED OR IN ST ALLED TH E FAC ILITIES , C LIM B IN G W ALLS O R EQ U IPM EN T O F VE R T IC AL EN D EA VO R S A N D AN Y PER SO N S U S IN G TH E C LIMBIN G
W A LLS O R E Q U IP M E N T O F V E R T IC A L E N D E A VO R S . T H IS A G R E E ME N T IS B IN D IN G O N YO U , YO U R H E IR S , N E XT O F K IN , A SS IG N S , A N D P E R S O N AL R E P R E SE N TA T IV E S.
T H IS AG R E E ME N T A LS O R EQ U IR E S YO U T O IN D E MN IFY A N D H O L D H A R M L E S S T H E P ER S O N S R E LE A SE D FR O M A N Y LO S S E S , LIA B ILIT IE S , D A M A G E S A N D C O S T S ,
IN C LU D IN G R E A S O N AB LE AT TO R N E YS ’ FE E S.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
RELEASE AND PROMISE NOT TO SUE
In consideration of my observing or using the facilities, climbing walls or equipment of Vertical Endeavors, and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I
hereby agree to RELEASE FROM ALL LIABILITY, DISCHARGE, and PROMISE NOT TO SUE , Vertical Endeavors, or any officer, director, member, employee, volunteer, or agent of Vertical Endeavors or any other
climber, visitor, or person present in or using the facilities, climbing walls or equipment of Vertical Endeavors. It is my express purpose to bind myself, my heirs, my administrators and my executors hereby.
In consideration of my observing or using the facilities, climbing walls or equipment and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I also hereby agree to
RELEASE FROM ALL LIABILITY, DISCHARGE, and PROMISE NOT TO SUE the designers, manufacturers or installers of the facilities, climbing walls or equipment of Vertical Endeavors or the landlord of Vertical
Endeavors. This agreement releases the aforementioned persons from any liability to me, my heirs, or next of kin, assigns, or personal representatives, for any losses or damages or claims or demands arising out
of my PERSONAL INJURIES, damage to my PROPERTY, or from my DEATH.
If any provision of this Agreement is held invalid, the invalidity shall not affect other provisions of the Agreement which can be given effect without the invalid provisions, and to this end the provisions of the Agreement
are to be severable. This Agreement shall be governed by the laws of the State of Minnesota.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
INDEMNIFICATION AGREEMENT
In consideration of my observing or using the facilities, climbing walls, or equipment of Vertical Endeavors, and/or in consideration of my participating in the classes or activities sponsored by Vertical Endeavors, I
agree to indemnify and hold harmless the persons RELEASED and DISCHARGED by me from any loss, liability, damages or cost, including reasonable attorneys’ fees, that they may incur due to the presence of
any claims or actions by me, or by my heirs, next of kin, assigns, or personal representatives, arising out of my observing or using the facilities, climbing walls or equipment of Vertical Endeavors event.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
CLIMBING FACILITY RULES
The participant acknowledges that they have access to, and understand, the posted rules of the facility and agree to follow ALL rules of the climbing facility and to comply with the judgement of the climbing facility
staff. Any infractions of the posted rules will result in loss of climbing privileges for that event.
Initial __________ (If participant is under 18, Parent/Legal Guardian must initial.)
I H A V E R E A D TH IS A G R E E ME N T T H O R O U G H LY A N D U N D E R S T A N D T H E T E R MS . N O O R A L R E P R E SE N T A T IO N S O R S T A T E M E N T S O R IN D U C E ME N TS H A V E B EE N M A D E
T O ME T H A T C H A N G E , A LT E R O R MO D IFY A N YT H IN G W IT H IN T H E W R IT T E N A G R E E M E N T . I A G R E E T O S A ID T E R M S . (A LT E R A T IO N S O R MO D IFIC A T IO N S T O T H IS
D O C U M E N T A R E N O T A LLO W E D )
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Signature (If participant is under 18, Parent/Legal G uardian m ust sign.) Street (Print)
I AM THE PARENT OR LEGAL GUARDIAN OF THE MINOR AND I AM SIGNING THIS
RELEASE ON BEHALF OF THE MINOR.
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Date City (Print) State Zip
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Emergency Contact Name Phone Number Email Address
Do you know of, or have your been advised of, any medical conditions that the participant have that would prevent you from safely, participating in the activities of rock climbing and or belaying.
W aiver Type: D aily - Punchcard - Free P ass - Belay O nly - Lesson - Spectator - G roup C hap - Kids C am p - School - C hurch - Misc. - B-day - Scouts - O ther__________________
EMPLOYEE INITIAL ______________________ DATE ____________/_____________/_____________ ENTERED IN CLIMBERS EDGE BY __________________________ *Office use only*
T his d oc um e nt is the pro p erty o f V e rtic al E n de a vo rs, Inc ., V e rtic al E n de a vo rs-C hic ag o , Inc ., V e rtic al E n de a vo rs-D uluth, Inc ., a nd is p ro te cte d und e r U .S . c op yrig ht la w s a nd sho uld no t b e d up lic ate d /p ub lishe d in w ho le of p art w itho ut p erm issio n
a nd is no t to be so ld or p ub lishe d fo r c om m e rc ia l g ain und e r a ny c irc um sta nc es .