Please fill out the following information as completely as possible.

WAIVER AND RELEASE

To use the bouldering/climbing wall, cargo net, and other spaces at CFCNX, RX, and ISDSI, please read and then sign this waiver and release acknowledging that there are inherent risks.

Express assumption of risk 

I am aware that there are significant risks involved in all aspects of using the bouldering/climbing wall, cargo net, and other areas on the property at and around CFCNX, Rx Cafe, the Foundation for Experiential Learning, and ISDSI (“the ISDSI Campus”). These risks include but are not limited to: falls which can result in serious injury or death, injury or death due to improper use or failure of equipment. I am aware that any of these above mentioned risks may result in serious injury or death to myself and/or my partner(s). I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury or death that may result from participation in any activity at the ISDSI Campus. I acknowledge that I have no physical impairments or illnesses that will endanger myself or others. 

Release 

In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in the activities available at the ISDSI Campus, I hereby release CFCNX, Rx Cafe, the Foundation for Experiential Learning, and ISDSI their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, the remainder of the agreement shall remain in full force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected to the ISDSI Campus to administer first aid deemed necessary, and in case of serious illness or injury, I give permission to call for medical and or surgical care for the child and to transport the child to a medical facility deemed necessary for the well being of the child. 

Property Damage

I agree to be responsible and to pay for any damage to the property at the ISDSI Campus, including equipment, windows, walls, or other parts of the campus buildings and grounds at the ISDSI Campus.

Indemnification 

I recognize that there is a risk involved in the types of activities offered at the ISDSI Campus. I therefore accept financial responsibility for any injury that I may cause either to myself or to others. Should the above mentioned parties, or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I will reimburse them for such fees and costs. I agree to indemnify and hold harmless CFCNX, Rx Cafe, the Foundation for Experiential Learning, and ISDSI, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities at the ISDSI Campus. 

Supervision of minors

I agree that if I am signing on behalf of a minor(s) that I will adequately supervise them or ensure that they are adequately supervised, and that I am responsible for their safety and correct use of the equipment and area.

Acceptance 

By clicking “I AGREE” below I agree that I have read and understood the foregoing and I understand that by signing it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by me. I understand that by signing this form I am waiving valuable legal rights.