NBRH Joining Application & Waiver of Liability Form First Name Last Name Email e.g. someone@example.com Phone Number e.g. 0412 345 678 Date of Birth Address Suburb Post Code Country Select country Australia New Zealand United Kingdom United States Canada India China Japan Singapore South Africa Germany France Italy Netherlands Spain Ireland Other How many minors / dependents None 1 2 3 4 5 RELEASE – PLEASE READ CAREFULLY I understand that indoor climbing is a dangerous recreational activity and may result in serious injury or death. I participate entirely at my own risk. I confirm that I am not under the influence of alcohol, drugs, or illicit substances and will not use the facility while under such influence. I acknowledge that wearing jewellery or loose articles may cause injury and accept responsibility for removing such items while on the premises. I understand that lead climbing requires staff approval and completion of the required assessment before participation. I hereby release Northern Beaches Rockhouse Pty Ltd, its owners, employees, and agents from any claims arising from my participation. I understand this waiver is ongoing and applies to all future visits unless revoked in writing. I confirm that I am 18 years or older or that a parent or legal guardian has consented on my behalf. Please initial to confirm agreement Initials of all participants covered by this waiver Submit Waiver Ready.
