Junior Participation Waiver Slough Climbing Wall

This form is to register a child or a youth under 18 years old to participate in supervised climbing activity, for example: private lesson, kids club, junior taster session. This form must be filled-in by a parent or legal guardian

Parent/Legal Guardian Information

First Name *

Last Name *

Your Date of Birth *

Phone *

Email Address *

Address*

Town*

Post code*

I read and understood 'THE BMC PARTICIPATION STATMENT'*

The BMC 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 risks and be responsible for their own actions.

I read and understood Climbing Club Kuluar Terms and Conditions*

https://u-scale.co.uk/pages/terms-conditions

How did you find out about our climbing wall

Supervisor details

This section is ONLY for qualified competent climbers who supervise juniors. Please leave this blank, unless asked by the staff member.

Supervisor name

Please leave it blank unless asked by the member of staff

Superivisior declaration

I am qualified as a competent climber by the Climbing Club Kuluar staff member and I will supervised the junior(s) named below. I am taking full responsibility for their safety as a supervisor.

Child/Youth Information:

Add Another Name

Click here to sign

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.