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  • Menu
    • Home
    • Health and fitness
    • Active Blackpool App
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    • Gyms
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      • Bouldering wall online novice supervision form
      • Climbing
      • Main climbing wall novice supervision form
      • Bouldering
      • Climbing courses and tuition
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      • Moor Park Health and Leisure Centre
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Active Blackpool
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      • Bouldering wall online novice supervision form
      • Climbing
      • Main climbing wall novice supervision form
      • Bouldering
      • Climbing courses and tuition
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      • Moor Park Health and Leisure Centre
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Class timetable

Swim timetable

Main climbing wall novice supervision form

 
Last modified October 19, 2020
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  • Main climbing wall novice supervision form
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To be completed by a registered adult climber 18 yearrs+ Parents/Guardians/ Adult novices to read the acknowledgement of risk

Form

Main climbing wall novice supervision form

  • Adult climbers information
  • Name
  • Supervision Information
  • Children aged 5 years to 1 7years
    Children must always be supervised by a registered adult climber 18 years + Completion of the parent, guardian declaration on this this form.
  • Adult novice guest/s 18 years +
    Must always be supervised by a registered adult climber 18 years + Completion of the adult guest declaration on the reverse of this form.
  • Novice climbers are the responsibility of the supervisor and the supervisor must remain with their novice/s when in the centre. The supervisor has a duty to inform the novice of relevant risks and help them manage these risks. Best practice notices are displayed within the climbing wall. The maximum novice supervision is 2 novice guests only
  • Novice guest 1
  • Name
  • Novice guest 2
  • Name
  • Declaration
  • Parent/Guardian declaration
    I certify that to the best of my knowledge, my child does not suffer from a medical condition that might have the effect of making it more likely that they will be involved in an accident that could result in injury to themselves or others. I also confirm that the above information is correct and if any information changes I will notify the centre.
  • Adult novice guest/s declaration
    I certify that to the best of my knowledge, I do not suffer from a medical condition that might have the effect of making it more likely that I will be involved in an accident that could result in injury to myself or others. I also confirm that the above information is correct and if any information changes I will notify the centre.
  • I have had sufficient opportunity to read the separate entire ‘acknowledgement of risk’ document. I have read and understand it, and agree to be bound by its terms.
  • Parent/Guardian name
  • Adult novice 1 name
  • Adult novice 2 name
ContentBox

The personal information on this form will be retained to demonstrate that consent was sought for the child detailed above to take part in the specified activity(s). We will use the information provided to contact you in an emergency and ensure that staff delivering the sessions are aware of any medical or special support needs.

We will not share your child’s personal information with any third parties. Blackpool Council is the data controller for the personal information you have provided in this form. The council’s data protection officer can be contacted at DPA@blackpool.gov.uk

Further information about how Blackpool Council uses your personal information, including your rights as a Data Subject.

Acknowledgement of risk

Participation statement

“All climbing and bouldering activities have a risk of serious injury or death. Participants must be aware of and accept that even if they follow all good practice there may still be the risk of accident and injury. It is the responsibility of the participant to adhere to the conditions of use.”

It is important that you understand this document. There is inherent risk involved with climbing centres and associated activities. By signing this form, you are stating you understand that these risks cannot be completely removed. If you do not understand any of the terminology or content, ask a member of staff to clarify.

Conditions of use

AccordionContent
  • General safety

    • Report to reception on each visit before you climb
    • You must exercise care, common sense and self-preservation at all times
    • Report any problems with the walls, equipment or other climbers' behaviour to a member of staff immediately. This is particularly important with broken or spinning holds
    • Be aware of the other climbers around you and how your actions will affect them
    • Do not distract people while they are climbing or belaying
    • Never stand directly underneath someone who is climbing
    • If you have children, you must keep them under control and supervise them directly at all times. Be close enough to affect or control the child’s behaviour at all times
    • Please make yourself aware of the location of the fire exits in the building and fire assembly points
  • Be aware

    As a user of this climbing wall, you must be aware of and accept the following:

    • Volumes on the walls are designed to enhance the quality of climbing but you must be aware of and accept that when climbing above them there is an additional risk of falling onto them
    • Climbing beyond your capabilities on any wall is likely to result in a fall. Any fall may result in an injury despite the safety systems in place. You must make your own assessment of the risks whenever you climb
    • Participants must understand that climbing while pregnant can increase the risk posed to mother and unborn child
    • Participants must be aware and accept that climbing holds can spin or break
    • You must do everything reasonable and practical to avoid endangering yourself or others
    • You have to be aware of and adhere to the safety rules of the centre at all times
    • Stand back from the climbing walls unless you are belaying or spotting a climber.
    • You take responsibility for adequately maintaining your equipment
    • Please empty your pockets and remove all jewellery before climbing
  • Top rope climbing

    • Always use a climbing harness to attach yourself to the rope tying the rope directly into the harness using a figure of 8 knot with a stopper, or a bowline knot with a stopper. Clipping in with a carabiner is not advised
    • Many of the climbs in the centre have top ropes already in place. Do not take them down or move them
    • It is your responsibility to vet your climbing partner's ability before they belay you
  • Lead climbing

    • Lead belaying requires a higher degree of skill and understanding from top rope belaying and should only be undertaken if you have received training or are competent to do so. If you are unsure do not climb and ask a staff member for available instruction at the centre
    • When using the lead walls, you must supply or rent (if available) your own appropriately rated dynamic rope
    • Quickdraws/runners/clips are provided on the lead wall. Please don’t use your own
    • You must not skip clips and clips must be clipped in order.

    Lead climbing also contains inherent risks, which are always present. Any leader fall can result in an injury and you must exercise great caution and preparation before you expose yourself to that risk. In top roping and leading, the greatest risk is presented by the belayer. Always make sure they are skilled enough to keep you safe; if you are unsure consult a member of staff. In auto belay climbing, the greatest risk is of failing to clip into the auto belay device before climbing. Always ensure you are correctly clipped in before leaving the ground and take a test fall where indicated, before going too high.

  • When belaying

    • Always abide by good practice when belaying
    • Always use a belay device attached to your climbing harness with a locking carabiner as per manufacturers' guidelines. ‘Traditional’, or ‘body’, belaying is not acceptable
    • To ensure your partner's safety, pay attention to what the climber is doing
    • Always stand as close to the climbing wall as is practical. Sitting or lying down is not acceptable
  • Auto belays

    • If you are unsure in any way on how to use an auto belay, or have never used one before, then ask a member of staff for assistance before using one
    • The coloured box (usually yellow or red) on the ground under the auto belays is a landing zone; be aware of descending climbers when standing within it
    • Good practice instructions are located next/near to the auto belay. To ensure your own safety, please follow these instructions or ask a member of the climbing staff if unsure
  • Supervised climbing

    An adult who has registered at the centre and proved competency through the induction process, may supervise up to two novice climbers, as long as they are prepared to take full responsibility for the safety of those people.

    Groups of three or more novices must only be supervised by an instructor holding the relevant valid mountain training qualification, valid first aid qualification, and insurance.

    Under 18 years.
    Children in the centre may only climb with written consent from a parent or guardian. They must be supervised by an adult unless they have been assessed by the climbing team on completion of the NICAS Level 4 course and registered through the appropriate indirect supervision form CB009.

  • Our duty of care

    The conditions of use of the climbing centre are not intended to limit your enjoyment of the facilities; they are part of the duty of care that we, as operators, owe to you, the customer, by law. As such, they are not negotiable and if you are not prepared to abide by them then the staff may ask you to leave.

  • Your duty of care

    You have a duty of care to act responsibly towards the other users of the centre, follow good practice and abide by the conditions of use of the centre. Statements of ‘good practice’ are posted around the centre adjacent to the relevant facilities. These describe the accepted methods of use of equipment and climbing areas.

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