Up ENDing Parkinson’s Meetup at LAX

Up ENDing Parkinson's - Participant Waiver and Release of Liability Participant Information {name} Acknowledgment of Risk I understand that participation in an indoor rock climbing activity, including those offered to people with Parkinson’s disease by gyms affiliated with Up ENDing Parkinson's (UEP), involves inherent risks including falling, rope burns, muscle strains, and the potential aggravation of existing medical conditions. 2 I acknowledge that climbing activities may be physically demanding and require a level of health and fitness that I am responsible for assessing with my healthcare provider. Medical Responsibility UEP encourages participants to consult with their physician or healthcare provider before climbing. I certify that I am voluntarily participating in a climbing program offered by an affiliate of UEP. I certify (i) that I have consulted with my physician or healthcare provider to determine that it is safe for me to do so or (ii) that I have voluntarily declined such consultation. I understand that UEP volunteers and staff are not medical professionals and will not provide medical advice or treatment. Release and Waiver of Liability In consideration of being permitted to participate in a climbing program offered by an affiliate of UEP, I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby release, indemnify, and hold harmless Up ENDing Parkinson's, its officers, directors, staff, volunteers, and sponsors from any and all claims, demands, losses, or liabilities arising from or related to any injury, disability, or loss I may sustain while participating in such a climbing program. Participant Consent I have read this waiver and release of liability in full. I fully understand its terms and understand that I am giving up substantial rights by signing it. I sign this waiver freely and voluntarily. Please pick a password to log-in to your account later.