Digital Waiver

PERSONAL INFORMATION

Please Complete the following questions. Questions with an * are required information. THIS FORM IS PERSONS AGED 18+. If you are the parent/guardian wishing to pre-register a minor at the centre, THIS IS NOT THE CORRECT FORM. Please complete the Parent/Guardian form.

Name *

First Name Middle Initial Last Name

Date of Birth *

Address *

Address Line 1

Address Line 2

Town/City County

Post Code Country

Phone Number *

Area Code Number

Email *

example@example.com

Emergency Contact Name *

name

Emergency Contact Number *

Area Code Phone Number

If you have any medical or behavioural conditions that make it more likely for you to sustain an injury whilst climbing, please provide details below. Input NONE if not applicable: *

Have you been singed off at another Indoor Climbing/Bouldering centre before? *

CONDITIONS OF USE

The BRITISH MOUNTAINEERING COUNCIL recognises climbing as an activity with a danger of personal injury or death. Participants in this activity should be aware of, and accept, these risks and be responsible for their own actions and involvement.

RISKS... Although Rockburn is an artificial climbing structure, the risks involved in participation are no less serious than when climbing on an outside crag or mountain. There are additional risks involved, such as bolt-on holds spinning, or breaking. The soft flooring in the centre is designed to offer climbers a softer landing when falling from the artificial bouldering structure – THE MATTING DOES NOT MAKE CLIMBING ANY SAFER THAN CLIMBING OUTSIDE. Broken and sprained limbs are common on this type of climbing structure despite the soft flooring. Uncontrolled falls are likely to result in injuries to both yourself and other wall users. Climbing beyond your capabilities on any surface is likely to result in fall. Any fall may result in an injury despite the safety systems in place to avoid such occurrences. It is the responsibility of the climber to make their own dynamic assessments of the risks associated with climbing – if you doubt your ability to achieve a route, STOP and dismount the wall safely, in line with the Rules of Rockburn.

OUR DUTY OF CARE... The Rules of Rockburn below are not intended to limit your enjoyment of the centre. They are part of the Duty of Care that we, as operators, owe to you, the customer, by law. As such they are non-negotiable - if you are not prepared to abide by them you will be asked to leave the centre.

YOUR DUTY OF CARE... You also have a duty of care to act in a responsible manner toward other users of Rockburn Ltd. Alongside the ‘Rules of Rockburn’, posters of good practise are positioned around the centre. These describe the accepted methods of use and how customers are expected to behave toward each other. If you are not prepared to abide by them, you will be asked to leave then centre.

UNSUPERVISED CLIMBING... Before climbing without supervision, Rockburn expects you to be competent in the use of the climbing areas and associated facilities, and to be aware of best practise regarding the safe use of the centre. You are required to complete and sign a Digital Waiver, stating your experience in the competent use of artificial climbing structures, and stating your understanding of the Rules of Rockburn, including your acceptance of them. The waiver also states the risks involved in climbing at Rockburn and your acceptance states that you have both read and understand the risk involved in your participation.

Persons over the age of 18, or whom have never climbed before, or whom have not climbed indoors before, MUST complete an induction at Rockburn BEFORE they can use the centre unsupervised. Unsupervised climbing is exactly that…staff will be onsite, fulfilling floor walking duties and will provide whatever help and advice they can, but instruction and supervision will only be provided when booked and paid for prior to the commencement of climbing. If you are not COMPETENT or CONFIDENT in your ability to climb on Rockbuns’ artificial climbing structure, you must not attempt to use it!

SUPERVISED CLIMBING... An adult whom has completed an induction at Rockburn may supervise up to 2 adult persons at any time. Guests need to complete a digital waiver and must be signed in using the guest log by the competent climber, whom will assume supervisory responsibility for their safety whilst using the facilities at Rockburn Ltd – if any of the parties involved are not happy with this, they MUST NOT CLIMB and will be required to undertake a centre induction BEFORE they can use the wall. Groups of 3 or more novices may only be supervised by an instructor holding recognised and relevant qualifications.

CHILDREN... Children are required to be supervised AT ALL TIMES by a competent adult whom is either a competent climber, or has undertaken an Induction at Rockburn. A competent adult can supervise 2 children aged 6 years and over, or 1 child aged under 6 years of age at any time – there are no exceptions to this. Groups of 3 or more children must either have multiple competent adults, or be supervised by an instructor holding recognised and relevant qualifications.

I have read and understood Rockburn's CONDITIONS OF USE and I AGREE to be bound by their content whilst using the facilities at Rockburn Ltd. *

RULES OF ROCKBURN

GENERAL SAFETY...

Report to reception upon arrival at Rockburn
YOU MUST EXERCISE DUE CARE AND ATTENTION, CAUTION AND SELF PRESERVATION WHILST USING ALL FACILITIES AT ROCKBURN LTD
Report any problems with the structure, holds or associated facilities, or inappropriate behaviour with other climbers, to centre staff upon discovery
Be aware of the other climbers around you and how your actions will affect them
If you are watching, STAY OFF THE BLUE MAT! This is for climbers only
If you have young children with you whilst their sibling climbs, THEY ARE NOT ALLOWED ON THE SAFETY MAT AT ANY TIME . This is not a soft play area and it is too dangerous for them to be on the mat anywhere!

WHEN BOULDERING/CLIMBING...

ALWAYS dismount by down climbing and stepping off at floor level.
ALWAYS climb within your capabilities
NEVER climb directly above or below another climber
ALWAYS keep and arms distance between climbers
STAY BACK - Climbers ALWAYS have priority: give climbers 2 metres of space behind them!
NO clothing, bags, items to be left on the blue safety matting - we provide storage for those bits
REMOVE necklaces, earrings, rings, watches and empty pockets before climbing
NO running on the blue safety mat at any time
UNDER 6's MUST be in arm's reach at all times + hand held when crossing under and Arch
UNDER 5's feet MUST NOT EXCEED Parent/Guardians Head Height
PARENT/Guardian-Child Ratios- Under 6's: 1-to-1/Over 6's: 2-to-1

[If you have any questions regarding the above information, please cotact a member of staff to clarify your queries. You must only complete this form once you both understand and have had sufficient time to assess its content adequately]

I have read and understood the RULES OF ROCKBURN and I AGREE to abide by their content whilst using the facilities at Rockburn Ltd. *

I have had sufficient opportunity to read this entire document. I have read and understood its content, and I agree to be bound by Rockburn's 'CONDITIONS OF USE' and 'RULES OF ROCKBURN' whilst participating at Rockburn Ltd. *

Do you understand that failure to Exercise due care and attention, and self-preservation, may result in injury , or in extreme circumstances, death? *

By placing your name in this box, you are giving a 'digital signature' to Rockburn Ltd in relation to all information submitted in this form in its entirety, assigning your confirmation that it has been completed knowingly, by you, for the purpose of registration to Rockburn Ltd, Bridport. *

Clear

Completed by: *

Completed on: *

Date

Do we have consent to use photographic images and video for marketing purposes? *

This may be used on our website and Facebook pages to promote Rockburn Ltd

Can we email you information about Rockburn? *

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For Information on the types of data we process and how we use, store and process your data, please visit: https://rockburn-bridport.com/yourdata/

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