care or medical or surgical diagnosis or first aid activities with a Mountain Skills
Climbing Guides, Inc. and its agents, if I am not able at that time to give my written
consent due to unconsciousness, disorientation or other mental incapacity. I also
understand and agree that I am solely responsible for all appropriate charges for such
services and that Mountain Skills Climbing Guides, Inc. and its agents are under no duty
to provide any first aid or medical treatment in any event.
Consent to Treatment (Minors)
I authorize Mountain Skills Climbing Guides, Inc. personnel to call for medical care for
the minor or to transport the minor to a medical facility or hospital if, in the opinion of
such personnel, the minor needs medical attention. I further authorize appropriate
personnel to render such medical treatment as is necessary for the health of the minor, in
their professional opinion. I agree that once the minor is in the care of medical personnel
or a medical facility, Mountain Skills Climbing Guides, Inc. shall have no further
responsibility for the minor and I agree to pay all costs associated with such medical care
I authorize and release to Mountain Skills Climbing Guides, Inc. the use of my image in
any photograph or video recording for any purpose of Mountain Skills Climbing Guides,
Rental Equipment Release of Liability
I accept for use as is the equipment listed on this form. I realize that the listed equipment
can fail and can be used for activities which can cause injury or death, and agree not to
hold Mountain Skills Climbing Guides, Inc. or its guides liable if such an accident
involves the use of the rented equipment.
Rock climbing involves risk of serious injury and/or death!
Make sure you prepare yourself and that you are in shape for the course or trip you sign