Rock Climbing!
10th June. Leave EGY @ 6pm, return 10pm.
Cost is: $15 for entry + transport. Please also bring money for food if wanted.
Clothing- Please wear suitable comfortable clothing for rock climbing (no skirts, dresses, tight jeans) as well as closed in suitable footwear
Please RSVP Monday 6th June- Jared: 0422 470 573
Please fill out and bring attached agreement from the hangout (regardless of age) plus permission slip
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I __________________________________ (parent/guardian) give permission for my child______________________________________________________ to go to the Hangout with EastGate Youth, which includes bring transported in the vehicles of youth leaders (all responsible and experienced!). Whilst I understand that EastGate Youth and its leaders will take all due care regarding my child’s safety, I take full responsibility for my child’s behavior and safety whilst in the care of EastGate Youth.
Parent/Guardian Signature: Date:
Contact number:
Medical issues we may need to be aware of:
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Member Number:
The Hangout Climbing Agreement
PARTICIPANTS DETAILS: Please use BLOCK LETTERS. All people climbing or belaying are considered participants.
Given Name: Surname:
Date of Birth: (DD/MM/YYYY) Gender (please circle): Male Female
Home Phone Number: Mobile Phone Number:
Address: Suburb:
State: Post Code:
E-mail Address:
(The Hangout would like to occasionally email you free offers, discounts, etc. Your information will not be sold or given to third parties.)
The Participant confirms: They have read and understand the rules of “The Hangout”. They agree to abide by those rules at all times and understand that by not doing so they may increase the risk of accident to self or others, that may result in serious injury or death. “The Hangout” reserves the right to terminate a visit of participants not complying with the rules. The Participant acknowledges: Indoor climbing has inherent risks that may result in injury, serious disability or death. They understand that indoor climbing is physically demanding and the participant warrants that they have no medical condition that will affect their ability to participate; or that may be negatively exacerbated through physical exertion.
The Participant acknowledges: There is an inherent risk of injury in climbing due to equipment failure, falling objects, human error or by a combination of any or all of these. The Participant accepts the risk of injury due to any of these causes and understands the inherent risks associated with climbing.
The Participant acknowledges: There is no qualified medical assistance available at “The Hangout” and that in the event of an injury requiring medical treatment; the Participant will need to obtain such assistance from an independent source.
I hereby release “V Rocks Pty Ltd”, “The Hangout”, all of its employees, staff and assistants or any other persons involved in my participation in indoor climbing at The Hangout from any suit, demand, action or claim for compensation, be it for personal injury or damage to property arising from my participation. I am aware that this waiver is ongoing and will apply to all future participation at The Hangout. I furthermore acknowledge that this document is contractual and may be relied upon in any proceedings by me, my heirs or executors.
Participants Signature _________________________ _____ _ Date _________________
Where Climber under 18
The Participant’s parent/guardian acknowledges that they have read and understand the risks stated in this document. They accept them in return for allowing the participant to climb and the use of the facilities at The Hangout.
Parent or Guardians Signature _________________________ Date _________________
Signed on Behalf of The Hangout _______________________
