· 2019. 12. 8. · hip hop dancing. spa day. talent show prep. 1. ircus performance: wacky talent...

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Searching for a new and innovave way to fill your child’s me this summer? Take a closer look at Club Connecon Day Camps serving children entering Kindergarten through 5th grade. At Club Connecon we provide weekly field trips, on-site learning acvies, simple and extensive craſts, cooperave games and physical challenges, team building opportunies and access to enrichment specialists from various fields. Led by capable, engaging counselors whose top priority is offering your child the best summer experience possible; our staff are handpicked for their friendly personalies, enthusiasm, and experse. Your child is guaranteed a day camp experience like none other! REGISTER ONLINE March 21—April 18, 2016 $50 per day minimum of 3 days per week Who can register? Any incoming Kinder— 5th graders currently living within the Issaquah School District boundaries PROGRAM INFORMATION Locaon: Grand Ridge Serving Grand Ridge Days of Operaon: June 20—August 17, 2016 Closed July 4 and 5 Hours: 7:00 AM—6:30 PM www.beforeandaſterschoolcare.weebly.com

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Page 1:  · 2019. 12. 8. · Hip Hop Dancing. Spa Day. Talent Show Prep. 1. ircus Performance: Wacky Talent Show alloon Artist. ostume Day. WEEK 3: Nickelodeon. 4: LOSED. Independence Day

Searching for a new and innovative way to fill your

child’s time this summer? Take a closer look at Club

Connection Day Camps serving children entering

Kindergarten through 5th grade.

At Club Connection we provide weekly field trips, on-site

learning activities, simple and extensive crafts,

cooperative games and physical challenges, team

building opportunities and access to enrichment

specialists from various fields.

Led by capable, engaging counselors whose top priority

is offering your child the best summer experience

possible; our staff are handpicked for their friendly

personalities, enthusiasm, and expertise. Your child is

guaranteed a day camp experience like none other!

REGISTER ONLINE

March 21—April 18, 2016

$50 per day minimum of

3 days per week

Who can register?

Any incoming Kinder—

5th graders currently

living within the Issaquah

School District boundaries

PROGRAM INFORMATION

Location: Grand Ridge

Serving Grand Ridge

Days of Operation:

June 20—August 17, 2016

Closed July 4 and 5

Hours: 7:00 AM—6:30 PM

www.beforeandafterschoolcare.weebly.com

Page 2:  · 2019. 12. 8. · Hip Hop Dancing. Spa Day. Talent Show Prep. 1. ircus Performance: Wacky Talent Show alloon Artist. ostume Day. WEEK 3: Nickelodeon. 4: LOSED. Independence Day

Important Reminders!

Hours of Operation:

7:00 AM – 6:30 PM

$3 per minute per child late fee

if child is present past 6:30 PM

*Please remember to bring yourID upon pick up.

Every day, remember to bring . . .

a sack lunch with a drink

sunscreen

a swim suit and towel

a change of clothes

Field trips will depart at 9:30 AM

and return by 4:00 PM unless

otherwise indicated.

All campers will attend field trips

unless the trip is designated a

grade specific on the calendar.

All field trips, enrichment, and

scheduled activities are subject

to change without notice based

upon weather, attendance,

and other unforeseen

occurrences.

BLUE—On-Site Activity

PINK—Field Trip

PURPLE—On-Site Enrichment

ORANGE—Spirit Day

BLUE—On-Site Bouncy Houses

UNDERLINED EVENTS—Requires

an additional permission form—

see the website for more details.

Grand Ridge Elementary 1739 NE Park Drive

Issaquah, WA 98029

Sign In / Sign Out: Multi-Purpose Room (down the stairs to the left of the main entrance)

Site: 425-837– 7943 Cell: 425-864-4590

Theme: Monday Tuesday Wednesday Thursday Friday

WEEK 1:

Super Hero

Showdown

20 Staff vs Kids Games

Spirit Stick

Meet Your

Counselors

21

Super Hero Training

Costume Creation

Lucky Strike *socks

Lunch Provided (3-5)

22

Spin Alley

* socks (K-2)

Superman vs.

Kryponite

23

Sub Zero Ice Cream

Giant Mural

Whirlyball

(4-5)

24 321 Bounce

*socks (K-3)

Sub Zero Ice Cream

Super Hero

WEEK 2:

Under the

Big Top

27

Watercolor

Circus Cuisine

Family Fun Center

(3-5)

28

Family Fun Center

(K-2)

Water Color

World Records

29

Hip Hop Dancing

Lego Masters

Spa Day

Laser Quest (3-5)

30

Jim’s U--Fish (K-2)

Hip Hop Dancing

Spa Day

Talent Show Prep

1 Circus Performance

Wacky Talent Show

Balloon Artist

Costume Day

WEEK 3:

Nickelodeon

4 CLOSED

Independence Day

5 CLOSED

6

TMNT Pizza

Glow Oobleck!

Luther Burbank

Beach (3-5)

7

Luther Burbank

Beach (K-2)

TMNT Pizza

Power Puff Code

8 Slime Wars

Bike Day *helmet

Mismatch Day

Lunch Walking FT (5)

WEEK 4:

Into the Wild

11

Upcycled

Engineering Project

Secret Life of Pets

Movie (3-5)

12 Secret Life of Pets

Movie (K-2)

Animal Encounters

Geocaching

13

Photo Scavenger

Hunt

Henry Moses

Aquatic Center (3-5)

14

Newcastle Beach

(K-2)

Master Chef Jr.

Animal Yoga

15 Ultimate Melt

Fossil Dig

Crazy Hair

Capture the Flag

WEEK 5:

Summer

Olympics

18

Opening Ceremony

Track & Field Day

Idylwood Beach

(3-5)

19

Idylwood Beach

(K-2)

Rugby

Game Day Snacks

20

Mariners Game

(K-5)

Curling

Bobsledding

21 Ninja Warrior

Bouncy Houses

Field Day

Food is Fuel

22 Ninja Warrior

Bouncy Houses

Stone Gardens

(5th only)

WEEK 6:

Get Your

Game On

25

Minute 2 Win It

Cupcake Wars

Woodland Park Zoo

(3-5)

26

Woodland Park Zoo

(K-2)

Life Sized Hungry

Hippos

27

Family Fued

Top Chef

Wild Waves (4-5)

Lunch Provided

28

Family Fun Center

(K-3)

Water Balloon

Battleship

29 Palettes & Punch

Seahawks Bingo

Hiking GR Trails

Pajama Day

WEEK 7:

Video Games

Galore

1 Zoo Tycoon

Pacific Science

Center (3-4)

Pacific Cascade

IMPACT HVZ (5th)

2

Pacific Science

Center (K-2)

Life Sized Angry

Birds

3 Interactive Mario

Kart

Bike Day *helmet

Minecraft Day

4 Bug Safari

Games 2 U

Infection Tag

Rock Band

5 Newcastle Beach

(K-5)

Neon Day

Glow Bowling

WEEK 8:

Eureka!

8

Seahawks Painting

Lynnwood Bowl &

Skate *socks (3-5)

Lunch Provided

9

Remlinger Farm

(K-2)

Seahawks Painting

Mad Science

10 Pacific Science

Center

Stop Motion

Animation

11

Vasa Beach Park

(K-5)

Lunch Provided

Bouncy Houses

12 Just Dance Off

Ice Cream Social

Science of Cooking

Color Wars

WEEK 9:

Wacky Water

15 Palettes & Punch

Central Park

Adventure

Luau

16 Drip Drip Drop

Extreme

Color Run

Bike Day *helmet

17 Water Battle

Bouncy Houses

Lunch Provided

Beach Wear

CLOSED for

School Year

Prep

CLOSED for

School Year

Prep

Page 3:  · 2019. 12. 8. · Hip Hop Dancing. Spa Day. Talent Show Prep. 1. ircus Performance: Wacky Talent Show alloon Artist. ostume Day. WEEK 3: Nickelodeon. 4: LOSED. Independence Day

Participant Name: Participant Name: __________________________________________ _____________________________________

Date of Birth: Date of Birth:

___/___/___ ___/___/___ Guardian or Adult (Please print): Signature:

__________________________________________ ______________________________________

Address: ________________________________________________________________________________________

Phone: Cell or emergency contact number:

__________________________________________ __________________________________

A SIGNED WAIVER IS REQUIRED FOR ALL ACTIVITIES AT 3-2-1 BOUNCE, LLC

Date:_________________________________________Time:____________________________________

The undersigned and on behalf of the participants below, acknowledges and agrees to these conditions: I voluntarily agree to abide by the stated and customary terms, rules and conditions for participation in any party and/or program at 3-2-1 Bounce, LLC. If I witness any hazard or peril during my participation, I will immediately bring it to the attention of an employee. I understand there is a risk of injury from inflatable equipment. I ac-knowledge that while rules, equipment design, and supervision reduce the risk, the risk of possible injury does exist. I voluntarily assume all risks to include identified and unidentified, even if stemming from the negligence of other participants. I, and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby hold harmless 3-2-1 Bounce, LLC employees, owners and affiliates with respect to any and all injury, disability, loss or damage to person and/or property to the fullest extent of the law.

PLEASE BRING YOUR SOCKS and wear comfortable, loose fitting garments as 3-2-1 BOUNCE parties are both fun and interactive

Page 4:  · 2019. 12. 8. · Hip Hop Dancing. Spa Day. Talent Show Prep. 1. ircus Performance: Wacky Talent Show alloon Artist. ostume Day. WEEK 3: Nickelodeon. 4: LOSED. Independence Day

                                                                                2029F Instruction

   

 Student  Animal  Permission  Form  

 3/21/16    A  variety  of  petting  zoo  animals  will  be  on  School  District  property  for  an  educational  purpose  on  the  date  specified  on  the  summer  camp  calendar  for  the  site  which  I  registered  my  child(ren).  I  give  my  permission  for  my  student  to  be  in  the  same  environment  as  the  animal  and/or  to  interact  with  the  animal.  I  will  alert  the  principal  or  staff  member  overseeing  the  event  if  I  have  concerns  about  the  animal  posing  an  allergy,  health,  or  comfort  issue  for  my  student.            Site:  ____________________________________________________________________          Child’s  Name:  ____________________________________________________________          Parent  Signature:  _____________________________________  Date:  _______________  

         

Please  return  this  form  by  (Monday,  June  20th)  to  the  Site  Coordinator    

Page 5:  · 2019. 12. 8. · Hip Hop Dancing. Spa Day. Talent Show Prep. 1. ircus Performance: Wacky Talent Show alloon Artist. ostume Day. WEEK 3: Nickelodeon. 4: LOSED. Independence Day

Stone Gardens, Inc.THE CLIMBERS GYM

Assumption of Risks, Release of Liability, Covenant Not to Sue, Waiver of Claims, and Indemnity Agreement (“Agreement”)

FIRST NAME DATE OF BIRTH

ADDRESS CITY STATE ZIP CODE

HOME PHONE WORK PHONE CELL PHONE

EMAIL MAY WE EMAIL YOU?

EMERGENCY CONTACT EMERGENCY PHONE

PARTICIPANT INFORMATION:

LAST NAME MIDDLE NAME

Y / N

READ CAREFULLY BEFORE SIGNING!

1. Assumption of Risks. (a) I fully understand that this Agreement describes some but not all of the risks, hazards, dangers and potential consequences of the climbing activities, which include: (i) Participants must make judgments and decisions as they participate in climbing activities and Stone Gardens staff must make judgments and decisions as they instruct or assist participants regarding climbing activities. These judgments and decisions are by their nature imprecise and subject to error. Judgments and decisions will be made in an environment that includes some routes that are designed to be challenging even to very capable and experienced climbers. Among other risks there is the risk that the Participant or a staff member may misjudge the Participant's abilities or fitness level; (ii) equipment (including, without limitation, artificial climbing walls, holds and anchor points, ropes, slings, harnesses, climbing shoes and climbing hardware whether the Participant's personal equipment or equipment rented or borrowed from Stone Gardens) may break, malfunction or be misused. Stone Gardens makes no warranties regarding any such equipment; and (iii) the Participant or others may act carelessly or recklessly or generally fail to exercise care. For example: By failing to clip into the auto-belay device before climbing, clipping the auto-belay device into the wrong part of the harness or into something other than a real harness. These and other risks, hazards and dangers may result in the Participant falling to the floor or ground, becoming entangled in ropes or other equipment or hitting artificial climbing walls, holds, anchor points or other objects or people. These and other circumstances may cause fractures, sprains, broken bones, concussions, cuts or abrasions, or other injury or illness, mental or emotional trauma, paralysis, disability or death.

(b) I also fully understand that any instruction, training, orientation or other information or assistance provided by Stone Gardens cannot eliminate such risks. In both supervised and unsupervised climbing activities, I acknowledge that I am responsible for my own safety and if I am a Parent, the safety of the Participant.

(c) Therefore, I knowingly and voluntarily assume all risks, both known and unknown, relating to the climbing activities and I accept full responsibility for those risks identified here and for those risks not identified and for injury, damage, death or other loss suffered by me and, if I am a Parent, by the Participant, resulting from those risks or resulting from my own negligence or other conduct.

2. Release of Liability, Covenant Not to Sue, Waiver of Claims, and Indemnity. For myself and on behalf of my heirs, executors, assigns, personal representatives and next of kin (and, if I am a Parent, also on behalf of my child or ward), (a) I agree to release and I covenant not to sue Stone Gardens, its officers, agents, employees, volun-teers, representatives, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used for the climbing activities (all collectively, the "releasees"), with respect to any and all claims, liabilities, suits and expenses (including attorneys fees and costs) (all collectively, "Claims"), arising out of any injury, damage, death or other loss in any way connected with my participation in the climbing activities or use of Stone Gardens equipment and facilities. I understand that I agree here to waive all claims I may have against Stone Gardens and the other releasees and agree that neither I nor anyone acting on my behalf will make a claim or file a lawsuit of any kind against Stone Gardens or the other releasees as a result of any injury, damage, death or other loss; and (b) I agree to indemnify, protect, defend and hold harmless the releasees with respect to all Claims (i) brought by me or on my behalf arising out of any injury, damage, death or other loss in any way connected with my participation in the climbing activities or use of Stone Gardens equipment and facilities; (ii) brought by a co-participant or any other person, arising out of any injury, damage, death or other loss claimed to be caused in whole or in part by my conduct in the course of partici-pating in the climbing activities or using Stone Gardens equipment and facilities; (iii) brought by or on behalf of any family member or minor accompanying me; or (iv) arising out of any breach by me of this Agreement. This release, covenant not to sue, waiver and indemnity includes any Claims caused in whole or in part by the negligence of Stone Gardens or any of the other releasees (but not gross negligence or reckless misconduct) and includes claims for personal injury, property damage, wrongful death, products liability, breach of contract or otherwise.

3. Representations, Warranties and Agreements. I represent, warrant and agree that: (a) My participation in the climbing activities is purely voluntary, and I choose to participate regardless of and with knowledge of the risks; (b) I will comply with all rules and regulations of Stone Gardens and the stated and customary terms and conditions for participation in the climbing activities; (c) I acknowledge that participating in the climbing activities requires a special degree of skill and knowledge different from other activities and that I have responsibilities as a partici-pant. I have no mental or physical problems or limitations that might compromise or affect my ability to participate in the climbing activities or to comply with my responsibilities in connection therewith. I represent that I am fully capable of participating in the climbing activities without causing harm to me or others. I acknowledge that Stone Gardens staff is, and have been available, should I have further questions about the nature and physical demands of the climbing activities and the risks, hazards and dangers associated with the climbing activities. If I observe any unusual significant hazard during my participation, I will remove myself from participation and immediately bring such hazard to the attention of Stone Gardens.

4. Transportation and Medical Care. Staff of Stone Gardens is authorized to obtain or provide medical care for Partici-pant or to transport Participant to a medical facility. Medical personnel are authorized to render such treatment as they deem necessary for Participant's health. Stone Gardens has no responsibility for medical care provided to Participant and I agree to pay all costs associated with such medical care and transportation.

5. Governing Law; Forum. This Agreement is governed by the laws of the State of Washington. Further, any proceeding arising out of or relating to Participant's participation in the climbing activities must be filed or entered into only in the State of Washington.

6. Severability. Any portion of this Agreement deemed unlawful or unenforceable shall not affect the enforceability of the remaining provisions of this Agreement and the remaining provisions shall continue in full force and effect.

7. Effectiveness. This Agreement (i) shall be effective when signed either by Participant or (if applicable) by Participant's Parent, or both, (ii) shall be valid and binding until it is cancelled or modified by written agreement and (iii) shall cancel any prior Assumption of Risks, Release of Liability and Indemnity Agreement or prior similar agreement or waiver signed by Participant or (if applicable) by Participant's Parent in favor of Stone Gardens (except any under which there is any claim or basis for any claim).

stonegardens.com

8. Mediation; Binding Arbitration. I agree to attempt to settle any dispute (that cannot be settled by discussion) through mediation before a mutually acceptable mediator. Any claim or dispute of whatever nature, including but not limited to the issue of arbitrability, arising out of or relating to this Agreement and that is not resolved through mediation shall be resolved by final and binding arbitration administered by the American Arbitration Association (“AAA”) in Seattle,Washington in accordance with the AAA commercial arbitration rules and judgment upon the award may be entered in any court having jurisdiction over the matter. NOTICE OF ARBITRATION AGREEMENT: This Agreement provides that all disputes between you and Stone Gardens will be resolved by binding arbitration. You thus give up your right to go to court to assert or defend your rights under this Agreement. Your rights will be determined by a neutral arbitrator and not a judge or jury. For more information regarding arbitration, please go to www.adr.org/

I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS AND UNDERSTAND THAT BY SIGNING IT FREELY AND VOLUNTARILY I HAVE GIVEN UP SUBSTANTIAL RIGHTS, INCLUDING WITHOUT LIMITA-TION THE RIGHT TO SUE STONE GARDENS OR ANY OF THE RELEASEES FOR CLAIMS ARISING OUT OF ANY INJURY, DAMAGE, DEATH OR OTHER LOSS RELATING TO CLIMBING ACTIVITIES.

Signature of Participant (18 years and older must sign)

Participant Name

Date

PARENT/COURT-APPOINTED LEGAL GUARDIAN OF MINORS (UNDER AGE 18 AT TIME OF REGISTRATION)As the parent or court-appointed legal guardian with legal responsibility for the Participant I consent and agree to the Participant’s assumption of risks, release of liability, covenant not to sue, waiver of claims and indemnity as provided in this Agreement. For myself, my heirs, executors, assigns, personal representatives and next of kin I release and covenant not to sue, waive and agree to indemnify, protect, defend and hold harmless the releasees from any and all Claims relating to the Participant’s participation in climbing activities in accordance with the terms of this Agreement.

Signature of Parent(s) (or Court-Appointed Legal Guardian)

Parent/Guardian Name

Date

In consideration of being allowed to participate in any way in the climbing activities of or sponsored by Stone Gardens, Inc. (”Stone Gardens”), whether such climbing activities occur at a Stone Gardens Facility or elsewhere,

I,_______________________________________________________________ [please print], the Participant identified above or if the Participant is a minor, the Participant’s Parent, acknowledge, appreciate and agree as follows. For purposes of this Agreement: “climbing activities” include without limitation bouldering, climbing, belaying and rappelling, using auto-belays, any related practice, training or team building activities (such as slack-lining), physical fitness training and recreational games, and anything incidental or related to any of the foregoing including transportation to, accessing and using any related facilities in any way; “Parent” means the Participant’s parent or court-appointed legal guardian; and “I”, “me,”myself”, “my” and any other first person references include both the Parent and the minor unless the context otherwise requires:

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1. Assumption of Risks. (a) I fully understand that this Agreement describes some but not all of the risks, hazards, dangers and potential consequences of the climbing activities, which include: (i) Participants must make judgments and decisions as they participate in climbing activities and Stone Gardens staff must make judgments and decisions as they instruct or assist participants regarding climbing activities. These judgments and decisions are by their nature imprecise and subject to error. Judgments and decisions will be made in an environment that includes some routes that are designed to be challenging even to very capable and experienced climbers. Among other risks there is the risk that the Participant or a staff member may misjudge the Participant's abilities or fitness level; (ii) equipment (including, without limitation, artificial climbing walls, holds and anchor points, ropes, slings, harnesses, climbing shoes and climbing hardware whether the Participant's personal equipment or equipment rented or borrowed from Stone Gardens) may break, malfunction or be misused. Stone Gardens makes no warranties regarding any such equipment; and (iii) the Participant or others may act carelessly or recklessly or generally fail to exercise care. For example: By failing to clip into the auto-belay device before climbing, clipping the auto-belay device into the wrong part of the harness or into something other than a real harness. These and other risks, hazards and dangers may result in the Participant falling to the floor or ground, becoming entangled in ropes or other equipment or hitting artificial climbing walls, holds, anchor points or other objects or people. These and other circumstances may cause fractures, sprains, broken bones, concussions, cuts or abrasions, or other injury or illness, mental or emotional trauma, paralysis, disability or death.

(b) I also fully understand that any instruction, training, orientation or other information or assistance provided by Stone Gardens cannot eliminate such risks. In both supervised and unsupervised climbing activities, I acknowledge that I am responsible for my own safety and if I am a Parent, the safety of the Participant.

(c) Therefore, I knowingly and voluntarily assume all risks, both known and unknown, relating to the climbing activities and I accept full responsibility for those risks identified here and for those risks not identified and for injury, damage, death or other loss suffered by me and, if I am a Parent, by the Participant, resulting from those risks or resulting from my own negligence or other conduct.

2. Release of Liability, Covenant Not to Sue, Waiver of Claims, and Indemnity. For myself and on behalf of my heirs, executors, assigns, personal representatives and next of kin (and, if I am a Parent, also on behalf of my child or ward), (a) I agree to release and I covenant not to sue Stone Gardens, its officers, agents, employees, volun-teers, representatives, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used for the climbing activities (all collectively, the "releasees"), with respect to any and all claims, liabilities, suits and expenses (including attorneys fees and costs) (all collectively, "Claims"), arising out of any injury, damage, death or other loss in any way connected with my participation in the climbing activities or use of Stone Gardens equipment and facilities. I understand that I agree here to waive all claims I may have against Stone Gardens and the other releasees and agree that neither I nor anyone acting on my behalf will make a claim or file a lawsuit of any kind against Stone Gardens or the other releasees as a result of any injury, damage, death or other loss; and (b) I agree to indemnify, protect, defend and hold harmless the releasees with respect to all Claims (i) brought by me or on my behalf arising out of any injury, damage, death or other loss in any way connected with my participation in the climbing activities or use of Stone Gardens equipment and facilities; (ii) brought by a co-participant or any other person, arising out of any injury, damage, death or other loss claimed to be caused in whole or in part by my conduct in the course of partici-pating in the climbing activities or using Stone Gardens equipment and facilities; (iii) brought by or on behalf of any family member or minor accompanying me; or (iv) arising out of any breach by me of this Agreement. This release, covenant not to sue, waiver and indemnity includes any Claims caused in whole or in part by the negligence of Stone Gardens or any of the other releasees (but not gross negligence or reckless misconduct) and includes claims for personal injury, property damage, wrongful death, products liability, breach of contract or otherwise.

3. Representations, Warranties and Agreements. I represent, warrant and agree that: (a) My participation in the climbing activities is purely voluntary, and I choose to participate regardless of and with knowledge of the risks; (b) I will comply with all rules and regulations of Stone Gardens and the stated and customary terms and conditions for participation in the climbing activities; (c) I acknowledge that participating in the climbing activities requires a special degree of skill and knowledge different from other activities and that I have responsibilities as a partici-pant. I have no mental or physical problems or limitations that might compromise or affect my ability to participate in the climbing activities or to comply with my responsibilities in connection therewith. I represent that I am fully capable of participating in the climbing activities without causing harm to me or others. I acknowledge that Stone Gardens staff is, and have been available, should I have further questions about the nature and physical demands of the climbing activities and the risks, hazards and dangers associated with the climbing activities. If I observe any unusual significant hazard during my participation, I will remove myself from participation and immediately bring such hazard to the attention of Stone Gardens.

4. Transportation and Medical Care. Staff of Stone Gardens is authorized to obtain or provide medical care for Partici-pant or to transport Participant to a medical facility. Medical personnel are authorized to render such treatment as they deem necessary for Participant's health. Stone Gardens has no responsibility for medical care provided to Participant and I agree to pay all costs associated with such medical care and transportation.

5. Governing Law; Forum. This Agreement is governed by the laws of the State of Washington. Further, any proceeding arising out of or relating to Participant's participation in the climbing activities must be filed or entered into only in the State of Washington.

6. Severability. Any portion of this Agreement deemed unlawful or unenforceable shall not affect the enforceability of the remaining provisions of this Agreement and the remaining provisions shall continue in full force and effect.

7. Effectiveness. This Agreement (i) shall be effective when signed either by Participant or (if applicable) by Participant's Parent, or both, (ii) shall be valid and binding until it is cancelled or modified by written agreement and (iii) shall cancel any prior Assumption of Risks, Release of Liability and Indemnity Agreement or prior similar agreement or waiver signed by Participant or (if applicable) by Participant's Parent in favor of Stone Gardens (except any under which there is any claim or basis for any claim).

Stone Gardens, Inc.THE CLIMBERS GYM

8. Mediation; Binding Arbitration. I agree to attempt to settle any dispute (that cannot be settled by discussion) through mediation before a mutually acceptable mediator. Any claim or dispute of whatever nature, including but not limited to the issue of arbitrability, arising out of or relating to this Agreement and that is not resolved through mediation shall be resolved by final and binding arbitration administered by the American Arbitration Association (“AAA”) in Seattle,Washington in accordance with the AAA commercial arbitration rules and judgment upon the award may be entered in any court having jurisdiction over the matter. NOTICE OF ARBITRATION AGREEMENT: This Agreement provides that all disputes between you and Stone Gardens will be resolved by binding arbitration. You thus give up your right to go to court to assert or defend your rights under this Agreement. Your rights will be determined by a neutral arbitrator and not a judge or jury. For more information regarding arbitration, please go to www.adr.org/

I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS AND UNDERSTAND THAT BY SIGNING IT FREELY AND VOLUNTARILY I HAVE GIVEN UP SUBSTANTIAL RIGHTS, INCLUDING WITHOUT LIMITA-TION THE RIGHT TO SUE STONE GARDENS OR ANY OF THE RELEASEES FOR CLAIMS ARISING OUT OF ANY INJURY, DAMAGE, DEATH OR OTHER LOSS RELATING TO CLIMBING ACTIVITIES.

Signature of Participant (18 years and older must sign)

Participant Name

Date

PARENT/COURT-APPOINTED LEGAL GUARDIAN OF MINORS (UNDER AGE 18 AT TIME OF REGISTRATION)As the parent or court-appointed legal guardian with legal responsibility for the Participant I consent and agree to the Participant’s assumption of risks, release of liability, covenant not to sue, waiver of claims and indemnity as provided in this Agreement. For myself, my heirs, executors, assigns, personal representatives and next of kin I release and covenant not to sue, waive and agree to indemnify, protect, defend and hold harmless the releasees from any and all Claims relating to the Participant’s participation in climbing activities in accordance with the terms of this Agreement.

Signature of Parent(s) (or Court-Appointed Legal Guardian)

Parent/Guardian Name

Date

stonegardens.com

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1. Assumption of Risks. (a) I fully understand that this Agreement describes some but not all of the risks, hazards, dangers and potential consequences of the climbing activities, which include: (i) Participants must make judgments and decisions as they participate in climbing activities and Stone Gardens staff must make judgments and decisions as they instruct or assist participants regarding climbing activities. These judgments and decisions are by their nature imprecise and subject to error. Judgments and decisions will be made in an environment that includes some routes that are designed to be challenging even to very capable and experienced climbers. Among other risks there is the risk that the Participant or a staff member may misjudge the Participant's abilities or fitness level; (ii) equipment (including, without limitation, artificial climbing walls, holds and anchor points, ropes, slings, harnesses, climbing shoes and climbing hardware whether the Participant's personal equipment or equipment rented or borrowed from Stone Gardens) may break, malfunction or be misused. Stone Gardens makes no warranties regarding any such equipment; and (iii) the Participant or others may act carelessly or recklessly or generally fail to exercise care. For example: By failing to clip into the auto-belay device before climbing, clipping the auto-belay device into the wrong part of the harness or into something other than a real harness. These and other risks, hazards and dangers may result in the Participant falling to the floor or ground, becoming entangled in ropes or other equipment or hitting artificial climbing walls, holds, anchor points or other objects or people. These and other circumstances may cause fractures, sprains, broken bones, concussions, cuts or abrasions, or other injury or illness, mental or emotional trauma, paralysis, disability or death.

(b) I also fully understand that any instruction, training, orientation or other information or assistance provided by Stone Gardens cannot eliminate such risks. In both supervised and unsupervised climbing activities, I acknowledge that I am responsible for my own safety and if I am a Parent, the safety of the Participant.

(c) Therefore, I knowingly and voluntarily assume all risks, both known and unknown, relating to the climbing activities and I accept full responsibility for those risks identified here and for those risks not identified and for injury, damage, death or other loss suffered by me and, if I am a Parent, by the Participant, resulting from those risks or resulting from my own negligence or other conduct.

2. Release of Liability, Covenant Not to Sue, Waiver of Claims, and Indemnity. For myself and on behalf of my heirs, executors, assigns, personal representatives and next of kin (and, if I am a Parent, also on behalf of my child or ward), (a) I agree to release and I covenant not to sue Stone Gardens, its officers, agents, employees, volun-teers, representatives, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of premises used for the climbing activities (all collectively, the "releasees"), with respect to any and all claims, liabilities, suits and expenses (including attorneys fees and costs) (all collectively, "Claims"), arising out of any injury, damage, death or other loss in any way connected with my participation in the climbing activities or use of Stone Gardens equipment and facilities. I understand that I agree here to waive all claims I may have against Stone Gardens and the other releasees and agree that neither I nor anyone acting on my behalf will make a claim or file a lawsuit of any kind against Stone Gardens or the other releasees as a result of any injury, damage, death or other loss; and (b) I agree to indemnify, protect, defend and hold harmless the releasees with respect to all Claims (i) brought by me or on my behalf arising out of any injury, damage, death or other loss in any way connected with my participation in the climbing activities or use of Stone Gardens equipment and facilities; (ii) brought by a co-participant or any other person, arising out of any injury, damage, death or other loss claimed to be caused in whole or in part by my conduct in the course of partici-pating in the climbing activities or using Stone Gardens equipment and facilities; (iii) brought by or on behalf of any family member or minor accompanying me; or (iv) arising out of any breach by me of this Agreement. This release, covenant not to sue, waiver and indemnity includes any Claims caused in whole or in part by the negligence of Stone Gardens or any of the other releasees (but not gross negligence or reckless misconduct) and includes claims for personal injury, property damage, wrongful death, products liability, breach of contract or otherwise.

3. Representations, Warranties and Agreements. I represent, warrant and agree that: (a) My participation in the climbing activities is purely voluntary, and I choose to participate regardless of and with knowledge of the risks; (b) I will comply with all rules and regulations of Stone Gardens and the stated and customary terms and conditions for participation in the climbing activities; (c) I acknowledge that participating in the climbing activities requires a special degree of skill and knowledge different from other activities and that I have responsibilities as a partici-pant. I have no mental or physical problems or limitations that might compromise or affect my ability to participate in the climbing activities or to comply with my responsibilities in connection therewith. I represent that I am fully capable of participating in the climbing activities without causing harm to me or others. I acknowledge that Stone Gardens staff is, and have been available, should I have further questions about the nature and physical demands of the climbing activities and the risks, hazards and dangers associated with the climbing activities. If I observe any unusual significant hazard during my participation, I will remove myself from participation and immediately bring such hazard to the attention of Stone Gardens.

4. Transportation and Medical Care. Staff of Stone Gardens is authorized to obtain or provide medical care for Partici-pant or to transport Participant to a medical facility. Medical personnel are authorized to render such treatment as they deem necessary for Participant's health. Stone Gardens has no responsibility for medical care provided to Participant and I agree to pay all costs associated with such medical care and transportation.

5. Governing Law; Forum. This Agreement is governed by the laws of the State of Washington. Further, any proceeding arising out of or relating to Participant's participation in the climbing activities must be filed or entered into only in the State of Washington.

6. Severability. Any portion of this Agreement deemed unlawful or unenforceable shall not affect the enforceability of the remaining provisions of this Agreement and the remaining provisions shall continue in full force and effect.

7. Effectiveness. This Agreement (i) shall be effective when signed either by Participant or (if applicable) by Participant's Parent, or both, (ii) shall be valid and binding until it is cancelled or modified by written agreement and (iii) shall cancel any prior Assumption of Risks, Release of Liability and Indemnity Agreement or prior similar agreement or waiver signed by Participant or (if applicable) by Participant's Parent in favor of Stone Gardens (except any under which there is any claim or basis for any claim).

8. Mediation; Binding Arbitration. I agree to attempt to settle any dispute (that cannot be settled by discussion) through mediation before a mutually acceptable mediator. Any claim or dispute of whatever nature, including but not limited to the issue of arbitrability, arising out of or relating to this Agreement and that is not resolved through mediation shall be resolved by final and binding arbitration administered by the American Arbitration Association (“AAA”) in Seattle,Washington in accordance with the AAA commercial arbitration rules and judgment upon the award may be entered in any court having jurisdiction over the matter. NOTICE OF ARBITRATION AGREEMENT: This Agreement provides that all disputes between you and Stone Gardens will be resolved by binding arbitration. You thus give up your right to go to court to assert or defend your rights under this Agreement. Your rights will be determined by a neutral arbitrator and not a judge or jury. For more information regarding arbitration, please go to www.adr.org/

I HAVE CAREFULLY READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS AND UNDERSTAND THAT BY SIGNING IT FREELY AND VOLUNTARILY I HAVE GIVEN UP SUBSTANTIAL RIGHTS, INCLUDING WITHOUT LIMITA-TION THE RIGHT TO SUE STONE GARDENS OR ANY OF THE RELEASEES FOR CLAIMS ARISING OUT OF ANY INJURY, DAMAGE, DEATH OR OTHER LOSS RELATING TO CLIMBING ACTIVITIES.

Signature of Participant (18 years and older must sign)

Participant Name

Date

PARENT/COURT-APPOINTED LEGAL GUARDIAN OF MINORS (UNDER AGE 18 AT TIME OF REGISTRATION)As the parent or court-appointed legal guardian with legal responsibility for the Participant I consent and agree to the Participant’s assumption of risks, release of liability, covenant not to sue, waiver of claims and indemnity as provided in this Agreement. For myself, my heirs, executors, assigns, personal representatives and next of kin I release and covenant not to sue, waive and agree to indemnify, protect, defend and hold harmless the releasees from any and all Claims relating to the Participant’s participation in climbing activities in accordance with the terms of this Agreement.

Signature of Parent(s) (or Court-Appointed Legal Guardian)

Parent/Guardian Name

Date

stonegardens.com

Stone Gardens, Inc.THE CLIMBERS GYM

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