免責聲明 Disclaimer

欲於Project_climb&boulder hk 攀岩館進行活動所有入場人士都必須做到以下事項，以確
保你與他人的安全與權利。
Any participant of Project_climb&boulder hk (Project_), must complete the following. In order to ensure the rights of
yourself and other individuals. Please complete with the required personal details and take your time to thoroughly
read this disclaimer.

請填寫個人資料並詳細閱讀以下免責聲明， 同意後請親自簽署（18歲以下需付監護人簽
名）始完成初次入場程序。本聲明僅需於第一次入場時填寫之後入場均同。此個人資料僅本
館內部使用容絕不外洩或用於非法用途。 所有入場人士都必須做到以下事項，以確保你與
他人的安全與權利﹕
Afterwards, when you agree to the terms please sign (Minor guardian signature is required for those who are under
aged 18) to complete the initial entry procedure. This statement is only required to be filled in at the time of the first
admission, and for thereafter. Project_ is committed to the provisions of the Hong Kong privacy laws. The data
collected in this form may be shared with personnels of Project_ for administrative, communication, and other related
purposes. In consideration for my acceptance as participant Project_, I confirm my understanding that:

• 本人願意免除在本場地、工作人員、義工的所有責任。並且本人、本人的繼承
人、近親、遺產執行人完全放棄向本場地、工作人員、義工、或其他相關人士提
出任何形式的一切索償、法律行動、追討費用及支出的要求。
I agree to waive all responsibilities of Project_ staff, employees, volunteers. And I would fully
give up the right of myself, my descendants, next of kin, estate executor to sue, any possible
claims raised in any forms of claim, legal actions, or any recovering costs & expenses.

• 本人了解攀岩運動存在風險，並於入場後會注意自身及他人身體及財產之安全
，願意完全承擔一切風險或可能造成的人身傷亡，或財物損失。
I acknowledge that my participation in rock climbing activities entails known and unanticipated
risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to
property, or to third parties. I understand that such risks simply cannot be eliminated without
jeopardizing the essential qualities of the activity.

• 本人健康狀況良好，沒有隱瞞任何健康及心理問題或其他理由導致不宜參加攀
岩活動及課程。
Climbing is a rigorous sport and the potential for injury is high if you are not currently in good
physical shape. Before climbing, we advise you to consult with your physician or doctor if you
have been inactive, are overweight, or suspect any sort of medical condition that could be
worsened by exercise.

• 本人同意於攀岩場中的活動照片或影片行無償作為攀岩場的紀錄或宣傳用途。
I agree to allow the recording of my appearance in all video and photograph during any activity
for promotion use.

• 建議各參加者應有責任自行購買個人之意外保險，以提供更全面的保障。
Project_ advises and suggests all participants to purchase or have their own personal accident
insurance to provide more comprehensive protection.

• 本人願意遵守基本禮節及安全守則。
I agree to be polite and follow safety instructions.
本人已確定閱讀了解並同意以上內容
I have had sufficient opportunity to read this entire document. I have read and understood it and agree to be bound
by its terms.

名字： Name： 生日 Date of Birth：D/M/Y

Email Address：

電話 Contact Number： 日期 Date： 簽署Signature：

緊急聯絡人 Emergency Contact： 緊急聯絡人電話 Emergency Contact No. ：

十八歲以下必須填寫：
Please complete & sign for under 18:
未成年者監護人名字 ： 電話 Contact Number：

Name of Minor Guardian： 簽署Signature：