The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risk and be responsible for their own action and involvement.
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Once you have read the Conditions of Use and Rules of climbing centre, you must answer the following questions by writing either ‘YES’ or ‘NO’ in the box provided then sign the declaration at the bottom of the form. Only climbers who give satisfactory answers to the questions will be registered and allowed to climb unsupervised.
Are you over 18 years of age?YesNo Have you read and understood the Rules and Conditions of Use of the centre?YesNo Can you put on a climbing harness correctly?YesNo Can you attach a rope to your harness using a suitable climbing knot?YesNo Can you use a belay device to secure a falling climber and lower a climber from the wall?YesNo Do you understand that matting beneath the boulding wall does not remove the risk of injury or death?YesNo Do you require instruction in any techniques above?YesNo Do you understand that failure to exercise due care could result in your injury or death?YesNo Do you have any questions regarding the application of the Conditions of Use or the Rules?YesNo Are you experienced lead climber?YesNo Do you agree to abide by the rules of the climbing centre?YesNo
Declaration of fitness I certify that t the best of my knowledge, I do not suffer from a medical condition which might have the effect of making it more likely that they be involved in an accident which could result in injury to themselves or other.
Declaration of fact I also confirm that the above information is correct and if any information changes I will notify the centre
MRM ID no:
Parent/guardian MRM ID no:
Has a Safety test been performed, how did the registrant perform? PassFail
Have you asked a sample question? YesNo
Bouldering induction complete
Mentoring form complete
(for all adult climber on instructed sessions)
The life centre climbing wall recognises that climbing and bouldering are risk and that it has a duty of care to you, the customer. The centre therefore has procedure in place to ensure that as far as is reasonably practicable, all users of the facility are kept safe and out of harm’s way. Similarly, all climbers have a duty of care to those around them, and they should always be sensitive to the needs of other users of the centre by adhering to safety procedures as instructed and applying a common-sense approach, to ensure that the environment you climb in is as safe as can reasonably be expected for a ‘’risk’’ activity. In addition to the BMC participation statement overleaf, please also be aware of the following:
Bumps, bruises, and scrapes are common. Life centre climbing wall cannot be held responsible for these sorts of minor injuries that you might sustain whilst climbing.
Holds may spin, or on very rare occasions – break. This may increase the chance of your falling off a route. ‘’spinners’’ must be reported to a member of staff. Life centre climbing wall cannot be held responsible for any injury that you may sustain as a result of a spinning hold.
All instructions given by our instructor’s must be always followed and adhered to whilst in the centre.
I have read the above statement and understand it.
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