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 the 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 to allow the above under 14 to climb in the climbing wall. Only Juniors, who’s form have been filled in with satisfactory answers to the questions, will be registered and allowed to climb.

Have you read and understood the Rules and Conditions of use of the centre?YesNo
Have you made the junior aware of the risk associated with climbing activities?YesNo
Do you have any questions regarding the application of the Conditions of Use or the Rules?YesNo

Does you child have any medical conditions we need to be made aware of?

The junior climber should:

• Exercise care, common sense, and self-preservation at all times

• Report any problems to a member of staff

• Report any accidents or injuries to a member of staff immediately

• Be aware of other climbers around them and how their actions may affect them

• Stand well back from the climbing wall unless belaying or spotting

• Not distract beneath someone who is climbing

• Not carry mobile phones or other objects which may fall and injure someone below

• Not run in the climbing wall

Declaration of fitness
I certify that t the best of my knowledge, the junior climber does 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:

Bouldering induction complete

Mentoring form complete

(for all junior 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 harms 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 participation statement and the ‘’rules and conditions of use’’ document. I consent to my child climbing under the supervision of the life centre climbing instructor. I have ensured that my child understand that the conditions of use and any instructions given by staff must be adhered to at all times. I understand to inform the life centre climbing wall of any changes in my child’s health, and any medical treatment received whilst they continue to participate in climbing lessons. If you child is part of group bookings, please name the group: