Registration Form Adult Climbers Please indicate which type of registration you are seeking by ticking in the relevant box below: Registered Climber Guest Climber Bouldering Only Novice under Supervision Please complete the information below and pass your form to our Reception staff, in signing this form, you are acknowledging that you have read and understood the Quay Climbing Centre Conditions of Use and Rules (attached to this form). Registered Climbers All competent climbers aged 18 and over may register as users of the Quay Climbing Centre, registration cost 7.50 and all users are asked to re-register on an annual basis. Registered Climbers and Guest Climbers We reserve the right to ask you to demonstrate the following before accepting your registration: 1. That you can put on a climbing harness correctly. 2. That you can attach a rope to the harness using a re-threaded figure of eight with stopper knot. This is the only knot that the Quay Climbing Centre will accept. 3. That you can use a belay device to secure a falling climber and lower a climber from the wall. British Mountaineering Council Participation Statement The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement. Personal Details Title: First Name: Last Name: Male/Female: Date of Birth: House Number/Name: Address: Address: City: County: Postcode:
Email: Telephone Number: Mobile Number: Emergency Contact Name: Emergency Contact Number: Occupation: How did you hear about us? : I am over 18 years of age: Supervising Climber Details (to be completed by the climber supervising the novice) First Name: Last Name: Quay Climbing Centre Registration No. Conditions of Registration (to be completed by adult or guest climbers) I can put on a climbing harness correctly: I can attach a rope to my harness using a suitable climbing knot: I can use a belay device to secure a falling climber and lower a climber from the wall: I require instruction in any of the above three techniques : I am competent in the skills and knowledge of Lead climbing: Conditions of Registration I understand that failure to exercise due care could result in my injury or death : I am aware of the risks involved with the different styles of climbing offered at The Quay Climbing Centre: I have read and understood the Conditions of Use and Rules of the Quay Climbing Centre: Do you have any questions regarding the application of
the Conditions of Use, the Rules or the Pre-Registration form: If you answered 'Yes' above then what are your questions? : Declaration of Fitness I certify that to the best of my knowledge, I do not suffer from a medical condition which might have the effect of making it more likely that I be involved in an accident which could result in injury to myself or others. Signature: Declaration of Fact I also confirm that the above information is correct and if any information changes I will notify the centre. Signature: Member Information I do/ do not wish to be included on our members update email list (please delete as appropriate) Sponsor s Mailing List Our sponsor, Taunton Leisure, offers discounts to all registered users of the Quay Climbing Centre. On the reverse of your registration card there is a Taunton Leisure Privilege Card. This card will be activated and is available to use in all Taunton Leisure stores if you sign to confirm that you are willing for your contact information to be provided to Taunton Leisure. I do/do not wish to be included on our sponsor s mailing list (please delete as appropriate) The Quay Participation Statement The Quay Climbing Centre provides facilities for your enjoyment of activities. Whilst all practical steps have been taken to minimise the risks involved you, the participant, take the responsibility for your own safety at all times and assume all risks related to the activities. I accept that neither nor its employees shall be liable for any loss or injury arising from my participating in the activity. Declaration: I declare the above information to be correct. Signed by Applicant (if applicant is over 18 years of age) Signed by Parent/Guardian(if applicant is under 18 years of age) or Supervising Climber Signed by Quay Climbing Centre Instructor
Signature: Signature: Signature: Print Name: Print Name: Print Name: Date: Date: Date: Office Use Only Registration Card No: Activate Sponsor Card: YES/NO CONDITIONS OF USE AND RULES OF THE QUAY CLIMBING CENTRE LIMITED
CONDITIONS OF USE AND RULES OF THE QUAY CLIMBING CENTRE LIMITED RISKS "The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement." Although the climbing centre is an artificial environment the risks involved are no less serious than when climbing outside on a crag or mountain. There is an additional risk that bolt on holds can spin or break. The soft flooring under the bouldering walls is designed to provide a safer landing for climbers falling from the bouldering wall. THE SOFT FLOORING DOES NOT MAKE THE CLIMBING ANY SAFER. Broken and sprained limbs are common on this type of climbing wall despite the soft landing. Uncontrolled falls are likely to result in injuries to yourself or others. Climbing beyond your capabilities on any wall is likely to result in a fall. Any fall may result in an injury despite the safety systems in place to avoid it. You must make your own assessment of the risks whenever you climb. OUR DUTY OF CARE The rules of the climbing centre set out below are not intended to limit your enjoyment of the facilities. They are part of the duty of care that we, as operators, owe to you, the customer, by law. As such they are not negotiable and if you are not prepared to abide by them then the staff must politely ask you to leave. Your Duty of Care You also have a duty of care to act responsibly towards the other users of the centre. Statements of 'Good Practice' are posted around the centre adjacent to the relevant facilities. These describe the accepted methods of use and how customers would normally be expected to behave towards each other Unsupervised Climbing Before you climb without supervision the centre expects you to be competent in the use of a safety harness, a suitable knot to attach a rope to the harness (the Quay Climbing Centre's only accepts a re threaded figure of eight with stopper knot) and a belay device to secure a falling climber or lower a climber from the wall using a rope. You are required to register to say that you know how to use the equipment, that you are prepared to abide by the Rules below and that you understand the risks involved in your participation. Anyone who has not registered is classed as a novice and must not climb without supervision. Unsupervised climbing is just that! Staff will provide whatever help and advice they can, but instruction in the use of equipment will only be provided where it has been booked and paid for in advance. If you are not confident in the use of any climbing equipment then do not attempt to use it. SUPERVISED CLIMBING An adult who has registered at the centre may supervise up to two novice climbers as long as they are prepared to take full responsibility for the safety of those people. Groups of three or more novices must only be supervised by an instructor holding the relevant qualification. CHILDREN All children in the centre must be supervised by an adult. RULES General Safety Report to reception on each visit before you climb. You must exercise care, common sense and self preservation at all times. Report any problems with the walls, equipment or other climbers' behaviour to a member of staff immediately. Be aware of the other climbers around you and how your actions will affect them. Do not distract people while they are climbing or belaying. Many of the climbs in the centre have top ropes already in place. Do not take them down to use on other routes. Do not use your own 'quick draws' to lead the top rope walls. When using the lead walls, you must supply your own appropriately rated dynamic rope. Do not use the centre's top ropes for lead climbing. You must clip all runners on the route you are climbing. Always use a belay device attached to your safety harness with a locking karabiner. 'Traditional', or 'body', belaying is not acceptable. Always pay attention to what the climber is doing. Always stand as close to the climbing wall as is practical. Sitting or lying down are not acceptable. Solo climbing is not acceptable at the Quay Climbing Centre. Always tie the rope directly into the harness. Always climb within your capabilities and descend by down climbing or being lowered. Never climb directly above or below another climber. Top Roping Many of the climbs in the centre have top ropes already in place. Do not take them down to use on other routes. Leading When using the lead walls you must supply your own appropriately rated dynamic rope. Do not use the centre's top ropes for lead climbing. You will require a 50m rope to use the Quay Climbing Centre's lead wall. Bouldering Always climb within your capabilities and descend by down climbing. Never climb directly above or below another climber. Updated 2011 08 19