The Rec

Clip 'N Climb Waiver


In consideration of the services of The REC and it’s Clip ‘N Climb activity, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as “CC”), I hereby agree to release and discharge CC, on behalf of myself, my children, my parents, my heirs, assigns, personal representatives and estate as follows:

  1. I acknowledge that the activities involved in the use of any of CC’s services or facilities entail significant risks, both known and unknown, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties.
  2. I expressly agree and promise to accept and assume all risks existing in these activities, both known and unknown, whether caused or alleged to be caused by the negligent acts or omissions of CC. My participation in this activity is purely voluntary, and I elect to participate in spite of risks.
  3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless CC from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of CC equipment or facilities, including any such claims which allege negligent acts or omissions of CC.
  4. Should CC or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
  5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bare the costs of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume- and bare the costs of all the risks that may be created, directly or indirectly, by any such condition.
  6. I agree to abide by the rules of the Clip ‘N Climb facility.

I HAVE READ SUFFICIENT OPPORTUNITY TO READ THIS ENTIRE DOCUMENT. I HAVE READ AND UNDERSTAND IT, AND I AGREE TO BE BOUND BY ITS TERMS.

*= Required Field

Today’s Date*:

Participant’s Name if 18+ OR Parent/Guardian Name*:

Your Birthday*:
 

Your Email*:

Your Address*:

Your Phone Number*:


Minor #1 Name:

Minor #1 Birthday:
 

Minor #1 Address:


Minor #2 Name:

Minor #2 Birthday:
 

Minor #2 Address:


Minor #3 Name:

Minor #3 Birthday:
 

Minor #3 Address:


Payer’s Last Name:

 
 
 

Leave this empty:

Signature Certificate
Document name: Clip 'N Climb Waiver
Unique Document ID: c3a51ff46ea99d953a9319bbb498bc4ed1b1e589
Timestamp Audit
April 16, 2019 8:47 am CDTClip 'N Climb Waiver Uploaded by The REC - clipnclimb@recfh.com IP 47.50.219.186
April 16, 2019 11:59 am CDTNick Fource - nick@thefourcegroup.com added by The REC Complex of Fairview Heights - chris@thefourcegroup.com as a CC'd Recipient Ip: 47.50.219.186
April 16, 2019 12:00 pm CDTNick Fource - nick@thefourcegroup.com added by The REC Complex of Fairview Heights - chris@thefourcegroup.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 9:41 am CDT Document owner info@recfh.com has handed over this document to info@therecfh.com 2019-04-18 09:41:39 - 47.50.219.186
April 18, 2019 10:10 am CDT Document owner info@therecfh.com has handed over this document to info@recfh.com 2019-04-18 10:10:05 - 47.50.219.186
April 18, 2019 10:14 am CDTAngie Beaston - beaston@cofh.org added by The REC Complex of Fairview Heights - info@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 10:14 am CDTChris Tierney-Hurst - Chris.Tierney-Hurst@cofh.org added by The REC Complex of Fairview Heights - info@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 10:14 am CDTHerb Schuler - Herb.Schuler@cofh.org added by The REC Complex of Fairview Heights - info@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 10:14 am CDTClip N Climb - clipnclimb@recfh.com added by The REC Complex of Fairview Heights - info@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 11:07 am CDT Document owner info@recfh.com has handed over this document to clipnclimb@recfh.com 2019-04-18 11:07:18 - 47.50.219.186
April 18, 2019 11:07 am CDTAngie Beaston - beaston@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 11:07 am CDTChris Tierney-Hurst - Chris.Tierney-Hurst@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 11:07 am CDTHerb Schuler - Herb.Schuler@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 18, 2019 11:07 am CDTClip N Climb - clipnclimb@recfh.com added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 22, 2019 4:49 pm CDTAngie Beaston - beaston@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 22, 2019 4:49 pm CDTChris Tierney-Hurst - Chris.Tierney-Hurst@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 22, 2019 4:49 pm CDTHerb Schuler - Herb.Schuler@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 22, 2019 4:49 pm CDTClip N Climb - clipnclimb@recfh.com added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 22, 2019 4:49 pm CDTFairview Heights - Cnc@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:34 pm CDTAngie Beaston - beaston@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:34 pm CDTChris Tierney-Hurst - Chris.Tierney-Hurst@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:34 pm CDTHerb Schuler - Herb.Schuler@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:34 pm CDTClip N Climb - clipnclimb@recfh.com added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:34 pm CDTFairview Heights - Cnc@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:44 pm CDTAngie Beaston - beaston@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:44 pm CDTChris Tierney-Hurst - Chris.Tierney-Hurst@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:44 pm CDTHerb Schuler - Herb.Schuler@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:44 pm CDTClip N Climb - clipnclimb@recfh.com added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186
April 24, 2019 3:44 pm CDTFairview Heights - Cnc@cofh.org added by The REC - clipnclimb@recfh.com as a CC'd Recipient Ip: 47.50.219.186