PARTICIPANT AGREEMENT, RELEASE, AND ASSUMPTION OF RISK for the year ____________

          In consideration of the services of Off The Wall Adventures, 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 “OTWA”), I hereby agree to release, indemnify, and discharge OTWA, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows:

              1.      I acknowledge that climbing on an artificial wall entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential 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 the walls, ropes, pads, or the floor; equipment failure; belay and or belayer failure; climbing out of control or beyond 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, OTWA 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 or instructions, and the equipment being used might malfunction.

              2.        I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
                  
              3.        I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless OTWA 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 OTWA’s equipment or facilities, including any such Claims which allege negligent acts or omissions of OTWA.  

              4.        Should OTWA 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 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.

              6.         In the event that I file a lawsuit against OTWA, I agree to do so solely in the state of Florida, 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 enforceable, the remaining portions shall remain in full force and effect.
              By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against OTWA on the basis of any claim from which I have released them herein.
              I have sufficient opportunity to read this entire document.  I have read and understood it, and I agree to be bound by its terms.

Signature of Participant ____________________________________________________________________
Print Name ______________________________________________________________________________
Address _________________________________________________________________________________
Phone: ________________________________________________________ Date: ____________________
PARENTS 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 OTWA to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless OTWA 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: ____________