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 please go to the reception desk to pay your entrance.

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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To receive Concession rate for unemployment you will need to provide proof of unemployment.

and Rules of the Centre?

 
 

could result in injury or death to you or others?

 
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competent to undertake:

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A PHYSICAL DEMONSTATION ON THE REQUIREMENTS AS SET OUT BELOW:

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If you can not do this or feel unsure you should STOP completing this form and start a NOVICE form
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I certify that I do not suffer from a medical condition which might have the effect of making it more likely that I may be involved in an accident,

which could result in injury to others or myself:

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I also confirm that the above information is

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

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

I AGREE">  *