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Liability waiver and consent - One question at a time

A climbing gym waiver written as fill-in-the-blank sentences, with emergency contact, acknowledgement and signature. One question at a time with photos beside some questions and a trail of what you have answered.

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

Use this template

Questions in this template

  1. Participant name
  2. Date of birth
  3. Is the participant under 18?
  4. What is the parent or guardian's 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. Who should we call in an emergency?
  9. Emergency contact phone
  10. I have read and agree
  11. Signature

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Friends laughing together outdoors

Hi, let's get your waiver done.

I will walk you through it one step at a time. You can have it read aloud if you prefer.
About 4 minutes
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