Adrenaline Climbing Liability Waiver

"RELEASE OF LIABILITY; ASSUMPTION OF RISKS; AND COVENANT NOT TO SUE"

ADRENALINE CLIMBING, LLC, 460 BROGDON ROAD, SUITE 100, SUWANEE, GEORGIA 30024, PHONE: 770-271-1390

THIS RELEASE IS A BINDING LEGAL CONTRACT, PLEASE READ IT CAREFULLY.

PLEASE TYPE IN ALL FIELDS.

How did you hear about Adrenaline Climbing?:

Participant's Full Name:

Date of Birth: / /

Driver's License #:

Street Address:

City:

Zip Code:

Emergency Contact Telephone: () -

Emergency Contact Telephone 2: () -

Email Address:

BY MY SIGNATURE BELOW, I HEREBY CERTIFY THAT I AM OF THE LEGAL AGE OF CONSENT (18) IN THE STATE OF GEORGIA. I ALSO CERTIFY, ON BEHALF OF MYSELF OR THE AFOREMENTIONED MINOR PARTICIPANT, WHOSE PARENT OR LEGAL GUARDIAN I AM, THAT I HAVE READ, UNDERSTOOD, AND AGREE TO THE TERMS CONTAINED IN THE DOCUMENT ENTITLED: "RELEASE OF LIABILITY; ASSUMPTION OF RISKS; AND COVENANT NOT TO SUE."


SIGN FULL, LEGAL NAME _________________________________________________________

TODAY'S DATE: / /

 

 

THIS DOCUMENT IS THE EXCLUSIVE PROPERTY OF ADRENALINE CLIMBING, LLC. IN ITS OWN INTEREST, ADRENALINE CLIMBING WILL SECURE AND HOLD THIS DOCUMENT IN PERPETUITY.

Please fill this form out, print it, and bring it in with you. All climbers must have a signed, fully filled out waiver form to climb at Adrenaline Climbing.