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Climbing
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| Full Name |
| Please answer the following |
Yes
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No
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| A |
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Can you put on sit harness correctly? |
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| B |
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Can you attach the rope to your sit harness correctly using a figure eight knot using either a direct tie or a Karibiner? |
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| C |
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Can you belay using a bleay device and a sit harness correctly? |
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| D | Do you understand the principles of lead climbing, including placing runners and belaying, and have previously bleayed a lead climber? |
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| A) | If you can answer YES to all questions you can use the climbing centre with no restrictions. | ||||||
| B) | If you can only answer YES to
questions with a |
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| C) |
If you cannot answer YES to questions with a
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Years of experience (information only)
| 0-1 Year |
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1-3 Years |
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3+ Years |
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Climbing Grade : |
Disclaimer
I recognise that climbing is a dnagerous activity which I undertake at my own risk. I have read the rules of the climbing centre (see below) and I understand and accept them. I accept that neither the operating company nor its employees shall be liable for any loss or injury arising from my participation in the activity. All the above information is correct.
| Signed | Date |
___ / ___ / ____
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Novice Supervision (experienced climbers over 18)
I am aware that the name overleaf is unfamiliar with the techniques listed in A - C on the other side of this form and I am prepared to take resposibility for them whilst they are using the climbing centre. I accept that neither the operating company, nor it its employees, shall be liable for any loss or injury arising from our participation in the activity.
Supervisors
I, the supervisor as signed below, am over 18yrs and are familiar with and understand the techniques listed in A - C on the other side of this form and do not require instruction in the use of them. I am also capable of demonstrating the above techniques to the novice climber and ensuring his / her safety whilst using the climbing centre.
| Full Name | Membership No. | ||
| Signed | Date |
___ / ___ / _____
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| Full Name | Membership No. | ||
| Signed | Date |
___ / ___ / _____
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| Full Name | Membership No. | ||
| Signed | Date |
___ / ___ / _____
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You may only sign in two novices at any one time. Any more than
two people consists of a group.
Groups must book in prior to a visit and have qualified climbing instructors.
Rules Of The Climbing Centre
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SAFE
CLIMBING
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SAFE BOULDERING
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These are in addition to the safe climbing rules.