Space City Rock Climbing
PARTICIPANT AGREEMENT, RELEASE, AND ACKNOWLEDGEMENT OF RISKIn consideration of the services of Space City Rock Climbing., their agents, owners, officers, volunteers,participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinaftercollectively referred to as "SCRG"), I hereby agree to release, indemnify, and discharge SCRG, on behalf ofmyself, my children, my parents, my heirs, assigns, personal representative and estate as follows:1.

I acknowledge that climbing an artificial climbing wall entails known and unanticipated risks that could
result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to thirdparties. I understand that such risks simply cannot be eliminated without jeopardizing theessential qualities of the activity.

The risks include, among other things: falling off the wall; loose and/or damaged artificial holds; rented
equipment failure; falling to the ground, on other users, or being fallen on by other users; abrasions from thewalls, ropes, pads, or the floor; equipment failure; belay and or belayer failure; climbing out of control orbeyond ones personal limits; the negligence of other climbers, visitors, participants, or other persons who
may be present; musculoskeletal injuries and/or over training; head injuries; or my own negligence.
Furthermore, SCRG employees have difficult jobs to perform. They seek safety, but they are not infallible.
They might be unaware of a participant's fitness or abilities. They may give inadequate warnings orinstructions, and the equipment being used might malfunction.
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I expressly agree and promise to accept and assume all of the risks existing in this activity. Myparticipation in this activity is purely voluntary, and I elect to participate in spite of the risks.
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless SCRG fromany and all claims, demands, or causes of action, which are in any way connected with my participationin this activity or my use of SCRG's equipment or facilities, including any such claims which allege
negligent acts or omissions of SCRG.
Should SCRG 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.
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 bear the costs of such injury or damage myself. I further certify that I
am willing to assume the risk of any medical or physical condition I may have.
In the event that I file a lawsuit against SCRG, I agree to do so solely in the state of Texas, and I further
agree that the substantive law of that state shall apply in that action without regard to the conflict of law
rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, theremaining portions shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during myparticipation in this activity, I may be found by a court of law to have waived my right to maintaina lawsuit against SCRG on the basis of any claim from which I have released them herein.
I have had sufficient opportunity to read this entire document. I have read and understood it,
and I agree to be bound by its terms.
Print Name:_______________________________Signature:_____________________________________
Address:_________________________________City/State:_______________________Zip:___________
Phone:______________________Birthday:________________________Date:_______________________
Email address:_______________________________________________PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION(Must be completed for participants under the age of 18)
In consideration of(print minor's name)("Minor") being permitted by SCRG to participate in its activities and to use its equipment and facilities, I
further agree to indemnify and hold harmless SCRG from any and all Claims which are brought by, or on
behalf of Minor, and which are in any way connected with such use or participation by Minor.
Parent or Guardian:_______________________Print Name:_______________________Date:___________