Wall Climbing
REGISTRATION, INFORMATION AND WAIVER FORM
CLIMBING WALL RULES
Climbing facility is open only during program hours and when a staff person is present.
All climbers must check in with staff person and be registered before climbing.
All climbers must gain instruction, demonstrate to staff sound technique, use proper knots, proper equipment use, and be checked off by a staff person before climbing.
Before each climb, each climber must be checked for 1) figure 8 tie-in knot; 2) double backed harnesses, and (3) proper loading of belay device/carabineer by their climbing partner.
Belayers must be approved by staff and checked off as approved, no one under the age of 16 can belay.
Climbers can climb “un‐roped” (boulder) no higher than five feet; spotter and crash pads are recommended,
Maximum number of climbers at any given time: 7
No IPods or MP3 players.
All climbers and belayers will exercise behavior that maintains a positive and safe climbing environment.
No food or drinks in the gym; water bottles are allowed.
You must pass a safety check before belaying or climbing in this facility.
NO LEAD CLIMBING
Only staff is allowed to teach belay skills. All safety instruction must be given by climbing center staff.
You must use a commercially manufactured harness, which is subject to approval of staff.
The College reserves the right to remove any person from the facility at any time for any reason.
Minors Climbing at the Wall
Those under 18 must have the waiver signed by a parent or legal guardian before climbing.
Those under 14 must be accompanied by a parent or guardian at all times within the Hillsdale College Dawn Tibbetts Potter Arena.
Those children too small to fit correctly into a harness will not be permitted to climb. Safety is our first priority.
Those under 16 are not allowed to belay. Those 16-18 must demonstrate rock solid skills before belaying.
Registration
First Name:
✗
Last Name:
✗
Address:
✗
City:
✗
State:
--Select--
AA
AE
Alabama
Alaska
Alberta
American Samoa
AP
Arizona
Arkansas
Australian Capital Territory
British Columbia
California
Canal Zone
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New South Wales
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Islands
Northern Territory
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Queensland
Rhode Island
Saskatchewan
South Australia
South Carolina
South Dakota
Tasmania
Tennessee
Texas
Utah
Vermont
Victoria
Virgin Islands
Virginia
Washington
West Virginia
Western Australia
Wisconsin
Wyoming
Yukon
✗
ZipCode:
✗
Gender:
Male
Female
✗
Home Phone:
✗ (use: XXX-XXX-XXXX);
Cell Phone:
✗ (use: XXX-XXX-XXXX);
Email:
✗
?
Date of Birth:
✗
?
Emergency Contact:
✗
Emergency Phone:
✗
✗
I have read, understand and agree to follow these rules.
Participant/Guardian Signature:
✗
Date:
5/17/2025