UNSUPERVISED ROPED CLIMBING AND BOULDERING

ADULT REGISTRATION FORM (18 + OVER)

You MUST complete ALL fields and watch the safety induction video before you can submit this form.

Once you are finished this form will be emailed to our reception and your membership will be reviewed. On arriving at the centre you should follow any COVID safety restirctions in place, use the anti-bacterial gel in main reception entrance and queue. Please ensure you follow Government social distancing guidelines and help us keep Creation open, and safe.

At reception inform the receptionist you have completed an online registration form and they will locate your membership request.
Competent climbers will need to perform a belay demonstration before being allowed to roped climb unsupervised.

All users are required to pay the annual membership fee of £3.75

Our system has generated your unique membership number as:    web counter free
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and Rules of the Centre?

 
 
 
 

could result in injury or death to you or others?

 
 
 
 
 
 

boulder. otherwise I must be supervised by a competent adult:

 
 

competent to undertake?

 
 

A PHYSICAL DEMONSTATION ON THE REQUIREMENTS AS SET OUT BELOW:

 
: 
 
: 
 
: 
 
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 maybe involved in an accident,

which could result in injury to others:

 
I also confirm that the above information is

correct and if any information changes I will notify the centre immediately.:

 

details on this form are correct and that the tick box replaces your written signature.:

I AGREE">