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Liability waiver and consent - Dark steps

A climbing gym waiver written as fill-in-the-blank sentences, with emergency contact, acknowledgement and signature. A dark, high-contrast version in short steps, with solid answer tiles and numbered questions.

About 4 min to complete. waiver, consent, legal, signature, dark.

Use this template

Questions in this template

  1. Participant name
  2. Date of birth
  3. Is the participant under 18?
  4. Parent or guardian full name
  5. I, ___, understand that climbing involves a risk of serious injury, and I am taking part on ___ at my own risk.
  6. I confirm I have ___ medical condition that would make climbing unsafe for me, and I will tell staff if that changes.
  7. Release of liability
  8. Emergency contact name
  9. Emergency contact phone
  10. I have read and agree
  11. Signature

Related templates

Group of cyclists riding together on a road

Waiver first. Then the wall.

Read it, fill in the blanks, sign. Staff will check your name at the desk.
4 short steps
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