Program Registration Form

This is the online registration for our programs. This includes a review and acceptance of the Operation Climb On (OCO) Participant Agreement, Release & Assumption of Risk form. Additionally, you will be required to provide information concerning your health and emergency contact. If further information is necessary, you will be contacted by our administrative team. Please contact us directly with any questions. We look forward to your participation in our programs!

PARTICIPANT AGREEMENT, RELEASE, AND ASSUMPTION OF RISK

In consideration of the services of Operation Climb On, their agents, owners, directors, officers, volunteers, agents, employees, affiliates, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as  OCO"), I hereby agree to release, indemnify, and discharge OCO, on behalf of myself, spouse, children, and parents as follows:

  1. I acknowledge that outdoor adventure-based activities such as rock and ice climbing, snowshoeing, and canyoneering entail known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself and/or property. I understand that such risks cannot be eliminated without jeopardizing the integrity of the activity.
  2. I acknowledge that I have been informed of the inherent risks which include, among other things:
    1. Exposure to outdoor elements including, but not limited to slips and falls from climbing and/or walking on uneven terrain; being struck by rock fall, ice fall or other objects dislodged or thrown from above.
    2. Inclement weather conditions including lightning, weather changes and avalanche; water hazards, and accidental drowning.
    3. Risk from the activities themselves and potential or actual failure of climbing or canyoneering ropes and equipment.
    4. Exposure to potentially dangerous wild animals, reptiles, insects, and plant life.
    5. Cold weather and heat related injuries such as the risk of altitude and cold injury, including hypothermia, frostbite, acute mountain sickness, cerebral and pulmonary edema; hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration.
    6. Accidents or illness occurring in remote areas with poor or no access to emergency and/or medical services; improper lifting or carrying.
    7. Fatigue and/or exhaustion due to the physical exertion associated with these activities.
  3. Furthermore, OCO employees seek safety, but are not infallible. They may be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and equipment being used might malfunction.
    1. 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 despite of the risks.
    2. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless OCO 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 OCO's equipment or facilities, including any such claims which allege negligent acts or omissions of OCO.
    3. Should OCO 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.
    4. 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 personally bear the costs of such injury or damage independently. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
    5. In the event that I file a lawsuit against OCO, I agree to do so solely in the state of Utah, 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, the remaining document shall remain in full force and effect.
    6. I grant permission to OCO to take still and moving images of me and use them for promotional purposes without recourse or compensation to me. If I submit my photographs I hereby release OCO to use them in marketing without recourse or compensation to me.

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 OCO 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.

Electronic Agreement of Terms *
Program Information
Program Date *
Please select the program date(s) you wish to attend.
Rental Equipment Needed *
Participant Information
Name *
Name
Phone *
Phone
Address *
Address
Pertinent Medical History & Emergency Contact Information
Date of Birth
Date of Birth
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Do you currently or have your had a history of:
(check all that apply)
To the best of my knowledge, the above information is a complete and accurate representation of my pertinent medical history. I declare that I am in good physical health and believe that I am able without reservation or limiting conditions to physically withstand and cope with the indicated rigors of the program. In the event of an emergency, permission is given for any evacuation, medical intervention, and care that may become necessary for my immediate well-being. By selecting this box, I acknowledge that I agree to the above information electronically and allow this electronic submission. *
Participant Age Verification
I declare, under penalties of perjury and as an authorized authority, that this filing has been examined by me and is, to the best of my knowledge and belief, true, correct, and complete. By typing my name in the indicated field, I agree to the terms and conditions outlined in the Participant Agreement, Release & Acknowledgement of Risk explanation
Date of Agreement
Date of Agreement
Parent's or Guardian's Additional Indemnification
(Must be completed for participants under the age of 18)
Minor's Name
Minor's Name
In consideration of (listed minor) ("Minor") being permitted by MED to participate in its activities and to use its equipment and facilities. I further agree to indemnify and hold harmless MED 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.
Date of Agreement
Date of Agreement