Membership – Individual Application

INDIVIDUAL

Membership Application

Welcome and thank you for sending in your application. One point of business we would like to bring to your attention before you complete the form below, is to read through our Release, Waiver of Liability & Covenant Not To Sue notice. It is imperative that by joining this club, you understand and agree to these terms.

Membership in the Atlanta Climbing Club (ACC) is open to people 18 years of age or older.

Release, Waiver of Liability & Covenant Not To Sue

I hereby acknowledge that participation in climbing and related activities and transportation to and from those activities involves inherent risks of bodily injuries, illness, death, or loss of personal property and assume all such risks. I acknowledge risks but freely and voluntarily choose to participate in activities of the Atlanta Climbing Club (“the Club”) or activities led by its members, trip leaders, or agents (“the Activities”).

In consideration of being allowed to participate in the Activities, I hereby release and forever discharge the Club, its officers, members, trip leaders, and agents from liability for any bodily injury, illness, death, or loss of personal property which may occur during the Activities or during transportation to or from the Activities, whether foreseen or unforeseen, however caused and whether or not caused by the negligence of the Club, its officers, members, trip leaders, or agents. I hereby waive any and all such claims, which I or my heirs or legal assignees may possess, and we further covenant and agree not to sue the Club, its officers, members, trip leaders, or an agent for damages arising out of my participation in the Activities or transportation to or from the Activities.

I understand that the Club does not provide insurance coverage in any form, and I acknowledge that I am solely responsible for any hospital or other costs arising out of any bodily injury or property damage sustained through my participation to and from the Activities.

I understand that the Club does not provide climbing instruction and that neither the Club nor its trip leaders hold themselves out as competent to teach the skills needed to climb. I understand that it is the responsibility of each participant to participate only in those activities for which he or she has the prerequisite skills, qualifications, preparation, and training, and I acknowledge that the Club does not warrant or guarantee in any respect the competency or mental or physical condition of any trip leader, vehicle driver, or individual participant.

CHECK HERE to accept the above terms.

Application Form

Name *

First

Last

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Newsletter Sign Up

Please add me to the newsletter

Emergency Contact Information

Emergency Contact *

First

Last

Emergency Contact Phone *

Individual Membership *

Price: $ 35.00

Signature *

I Agree to the Terms and Conditions

Email

Individual membership