Big & Lil Sib General Info

Parent Info

Emergency Contact

Insurance Info

Disclaimers & Release of Liability

I understand that Lil Sibs can only stay with a Big Sib of the same gender. I also understand that all overnight housing will follow the policies set by the Residence Hall team of Cedarville University.
I approve of this student's participation in Lil Sibs weekend and certify that he/she is in good health and able to participate in all activities. I hereby voluntarily assume all risk of accident or injury to my child which may arise from his/her participation in this event, completely releasing Cedarville University and all personnel associated with this program from any liability that may result from his/her participation. If medical attention is required for illness or injury while attending this event, I give my permission for such care.
I hereby grant Cedarville University permission to take and use my (or my student's) image in University marketing promotions such as, but not limited to, printed materials, websites, press releases, and video. I understand my (or my student's) image will be used in a tasteful, professional, and God-honoring manner. I agree that images used are considered the property of Cedarville University and may not be sold or reused without the express consent of Cedarville University.
I understand that there are inherent risks that cannot be eliminated from the sport of rock climbing and climbing on the indoor climbing wall. I have full knowledge of the nature and extent of these risks including byt not limited to:

- Injuries resulting from falling and crashing into the climbing wall, floor, crash pads, or other objects
- Injuries resulting from rope abrasion , entanglement, and other injuries that may result from activities or other persons, including but not limited to climbing, rappelling, belaying, lowering on a rope, rescue or emergency activities, as well as injuries, abrasions, and cuts from contact with equipment and components of the indoor climbing wall facility.
- Failure of the ropes, harnesses, wall hardware, anchor points, or any other part of the indoor climbing wall structure and related equipment.
- Injuries from falling participants or equipment.
- Injuries resulting from the negligence of other climbers, belayers, spotters, spectators or users of the indoor climbing wall facility.
- Injuries resulting from personal physical and mental limits including but not limited to fatigue, chill, heat, and dizziness, which may diminish reaction time and increase risks of accident, personal strength, coordination, sense of balance, and the ability to follow or give directions while climbing, belaying, lifting, spotting, or being a spectator.
- Injuries or property damage resulting from hair or loose clothing getting caught in equipment.
- Injuries from improper use of equipment or the failure to properly tie into the system.
- I also recognize that there are both foreseeable and unforeseeable risks of injury or death that may occur as a result of my voluntary participation at the indoor climbing wall.
I certify that I am fully capable of participating in this activity. Therefore, I assume and accept full responsibility for bodily injury, death, loss of personal property and any expenses which may be incurred by me or any minor children in my care resulting from those inherent risks and dangers previously identified, those inherent risks and dangers not specifically identified, and any negligence on my part associated with my participation in this activity. I therefore release Cedarville University, its full-time employees, student employees, volunteers, agents, or representatives from any and all liability, claims costs, expenses , injuries or losses including those resulting from acts of negligence by those states above that I may sustain as a result in my participation in any activities at the CU indoor climbing wall. I also certify that I have adequate health, disability and life insurance for myself and my family and do not presume that the University has secured insurance for my benefit.

I have carefully read this Assumption of Risk and Release of Liability Form and fully understand its contents. By signing below I am accepting this contractual agreement.

If the climber is a minor (under the age of 18), a parent or legal guardian must sign below.

I am the parent or legal guardian of the participant listed above. I have read and understand the provisions of this document, I consent to my son or daughter taking part in this activity described above, and I fully enter into and agree to the above Assumption of Risk and Release of Liability.

I certify that the above agreements have been completed by a parent, or legal guardian, of the Lil Sib.

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