Exact text signed — version v2, snapshot is immutable
Release and Waiver of Liability — Climbing & Bouldering
PLEASE READ CAREFULLY BEFORE SIGNING.
I acknowledge that indoor rock climbing and bouldering are inherently strenuous activities involving risks including, but not limited to: falls, collisions with other climbers or equipment, rope burns, muscle strains and fractures. I understand these risks cannot be eliminated even with proper equipment and supervision.
In consideration of being permitted to use the facilities, I voluntarily accept full responsibility for any risks of loss or personal injury. I agree to follow all facility rules, posted signage and staff instructions at all times, and to inspect equipment before each use, reporting any concerns to staff immediately.
HELMETS: I understand helmets are available free of charge at the front desk and are required for climbers under 14.
To the fullest extent permitted by law, I release the facility, its owners, employees and instructors from any liability arising out of my use of the premises and equipment. This waiver applies to the person named below and remains in effect until it expires or is replaced by a newer version.
Acknowledged
- ✓ I have read and understood this waiver in full.
- ✓ I meet the physical requirements and know of no medical condition preventing safe participation.
- ✓ I agree to follow all facility rules and staff instructions.
Answers (sealed in the record)
- Emergency contact (name and phone)
- Partner, +1 (720) 555-0123
- Any medical conditions or injuries we should know about?
- no
- Climbing experience
- First time
Marketing consent
Yes — ticked: Email me about new routes, events and offers. You can unsubscribe at any time.
Signature — Cleo Marchetti
Status
310days until expiry · Sep 19, 2027
Integrity
✔ verified
✔ verified
Verify code
FZMCDXAXKP
FZMCDXAXKP
Signer's copy
Send cleo.m@example.com a plain-text receipt: what they signed, the dates, their reference code and the verify link. Nothing else.
Details
- Date of birth
- Jun 26, 2007
- cleo.m@example.com
- Source
- kiosk
- Signed (UTC)
- 2026-09-19 15:16:00
- Expires
- Sep 19, 2027
- Version hash
- e41e14fb927c5311…
- Record hash
- a15e20e3063594df…
Danger zone
Erase the signer's identity but keep the record, its dates and its version — a deletion request done right.
Kept: the signer's phone number on the text stop list, if they asked to stop texts, so they are never texted again.