Gym Waiver

Climbing New Heights  

Gym - Waiver, Release, & Acknowledgment of Risk Agreement

***Read Before Accepting Terms***  

In consideration of being allowed to participate in the program, related events and activities including travel to and from locations with Climbing New Heights, the agents, owners, officers, volunteers, participants, employees, contractors and all divisions or departments of Climbing New Heights and all other persons or entities acting in any capacity on Climbing New Heights behalf, (hereinafter collectively referred to as "CNH"), I hereby agree to release and discharge CNH, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:  

1. I acknowledge that indoor rock climbing & bouldering entails known and unanticipated risks, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. a) The risks include, among other things; the nature of the activity itself, use or operation of equipment supplied by CNH, or my own personal equipment, my own physical condition, first aid, emergency treatment or other services rendered, consumption of food or drink as well.  

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.  

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless CNH from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of CNH’s equipment or facilities, including any such claims which allege negligent acts or omissions of CNH.  

4. Should CNH or anyone acting or their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.  

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition.  

6. This agreement shall in all respects be interpreted, enforced and governed under the laws of the state of West Virginia applicable to agreements entered into and to be performed entirely in West Virginia. If any term, covenant or condition of this agreement or the application thereof to any person or circumstance shall be held to be invalid or unenforceable by a court of competent jurisdiction, the remainder of this agreement or the application of such terms or provisions to persons or circumstances other than those to which it is held invalid or unenforceable shall not be effected thereby, and each term shall be valid and enforceable to the fullest extent permitted by law.  

7. By participating in or attending any activity in connection with this program, whether on or off the premises, I consent to the use of any photographs, pictures, film or videotape taken of me or provided by me for publicity, promotion, television, websites or any other use, and expressly waive any right of privacy, compensation, copyright or other ownership right connected to same.  

8. By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against CNH on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.  

FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless CNH from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law


I have read, understood, and agree to be bound by the terms of the Climbing New Heights Gym Waiver, Release, & Acknowledgment of Risk.

Parent Name for climbers under 18 years old
Parent Name for climbers under 18 years old
Climber birthdate *
Climber birthdate
Phone *
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Number *
Emergency Contact Number