ALL Birthday Party Reserva ons must be made AT LEAST 14 days in advance of the event

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2 ALL Birthday Party Reserva ons must be made AT LEAST 14 days in advance of the event Name of applicant: Home #( ) Cell #:( ) Birthday Par cipants name: Age: Date to be reserved: (to reserve party date we must have deposit and signature in person) To book your party a $25 non-refundable reservation fee is required at time of reservation. RATES: Members: Non-Members: $ party rental fee (does not included reservation fee) $ party rental fee (does not included reservation fee) PARTY TIME & AREAS - Price includes two options 45 mins each plus 30 minutes in celebration room. - Birthday parties will be 2 hours long, this includes your set up time, decoration time. Please put a number 1 for your first ac vity and number 2 for the second ac vity. That is the order that you will be doing these ac vi es for the party. Friday 5:15-7:15 pm Pick two areas: Climbing Wall Saturday 2-4 pm Available for 1st Activity Available for 2 nd activity Climbing Wall (waiver must be signed) Saturday 12-2 pm Available for 1st Activity Available for 2 nd activity Climbing Wall (waiver must be signed) Sunday 2-4 pm Pick two areas: Climbing Wall

3 Rules and Procedures All payments must be made in full prior to the rental party. Your deposit is required to reserve the date and me of party. Each party is based upon a 25 person max for addi onal guest it will be $7 per person. The number of guest should be provided at me of reserva on. Renter is responsible for any damages done to the YMCA property/equipment. No alcoholic beverages, tobacco products or firearms are allowed on the YMCA property. Food and Drinks are allowed in designated areas. During ac vi es staff has the right to enforce all YMCA rules to ensure a fun, safe environment for everyone to enjoy. We ask that you let the Birthday party Coordinator know about any and all outside food or drinks that will be brought to the party, so our set up accommodates your needs. The YMCA is not responsible for any food allergies. For pool par es each par cipant must be swim tested and arm banded before swim. For Climbing Wall par es each par cipant must have a wavier signed prior to start of party. Staff will be provided in the necessary areas for each party to ensure the safety of our guest. All children under the age 8 must have a responsible adult 18 or older with them in aqua cs area, climbing wall, and XRKade room at all mes. Policies Everyone under 18 years of age must be swim tested and arm banded. There are three categories of swimmers: Non-Swimmer- Red Band Intermediate Swimmer- Yellow Band Advanced Swimmer- Green Band Red and Yellow banded swimmers are to have access to the family pool ONLY. Green banded swimmers have full access to both the family pool and lap pool. No jumping off of elevated pool sides, No running, No horseplay, No harassment of any kind, No food or drink is allowed in any pool area. Please remember to provide your own towel. Entries to the pool area are through the locker rooms only. By signing this you fully agree to abide by all the rules and procedures: X Date Approval of Director X Date

4 All par cipants of the birthday party that wish to climb must sign the a ached sheet. If par cipant is under 18, their parent or legal guardian MUST sign or they can not climb. Climbing Wall Release/Indemnifica on of all Claims and Covenant Not to Sue NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. By signing this agreement, you give up your right to bring a court ac on to recover compensa on or obtain any other remedy for any injury to yourself or your property or for your death however caused arising out of your use of the Climbing Wall, now or any me in the future. Acknowledgment of Risk I HEREBY ACKNOWLEDGE AND AGREE that the sport of rock climbing and the use of the Climbing Wall (hereina er referred to as the Climbing Wall) has inherent risks. I have full knowledge of the nature and extent of all the risks associated with rock climbing and the use of the Climbing Wall, including but not limited to: 1. All manner of injury resul ng in falling off the Climbing Wall and hi ng rock faces and projec ons, whether permanently or temporarily in place, or the floor; 2. Rope abrasion, entanglement and other injuries resul ng from ac vi es on or near the Climbing Wall such as, but not limited to, climbing, belaying, rappelling, lowering on rope, rescue systems, and any other rope techniques; 3. Injuries resul ng from falling climbers or dropping items, such as, but not limited to, ropes or climbing hardware; 4. Cuts and abrasions resul ng from skin contact with the Climbing Wall; Failure of rope, slings, harnesses, climbing hardware, anchor points, or any part of the Climbing Wall structure. I further acknowledge that the above list is not inclusive of all possible risks associated with the use of the Climbing Wall and that the above list in no way limits the extent or reach of this release and covenant not to sue. Release/Indemnifica on and Covenant Not to Sue In considera on of my use of the Climbing Wall, the undersigned user, agree to release and on behalf of myself, my heirs, representa ves, executors, administrators, and assigns, HEREBY DO RELEASE [YMCA], its officers, agents, and employees from any cause of ac on, claim, or demand of any nature whatsoever, including but not limited to, a claim of NEGLIGENCE, which I, my heirs, representa ves, executors, administrators and assigns may now have, or have in the future against [YMCA] on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of the Climbing Wall whether that use is supervised or unsupervised, however the injury or damage is caused, including, but not limited to the NEGLIGENCE of [YMCA], its officers, agents, and employees. In considera on of my use of the Climbing Wall, I, the undersigned user, agree to INDEMNIFY AND HOLD HARMLESS [YMCA], its officers, agents, and employees from any and all causes of ac on, claims, demands, losses, or costs of any nature whatever arising out of or in any way related to my use of the Climbing Wall. I hereby cer fy that I have full knowledge of the nature and extent of the risks inherent in the use of the Climbing Wall and that I am voluntarily assuming the risks. I understand that I will be solely responsible for any loss or damage, including death, I sustain while using the Climbing Wall and that by this agreement [YMCA] of any and all liability for such loss, damage, or death. I further cer fy that I am in good health and that I have no physical limita ons which would preclude my safe use of the Climbing Wall. I further cer fy that I am of lawful age (18 years or older) and otherwise legally competent to sign this agreement. I further understand that the terms of this agreement are legally binding and cer fy that I am signing this agreement, a er have carefully read it, of my own free will. If the undersigned is under the age of 18, Parent or Legal Guardian must also sign. Contract to Follow Climbing Wall Safety Policies I accept full responsibility for my own safety and the safety of other climbers while in the climbing gym area. I agree to abide by, and to help enforce, the following climbing wall safety policies: 1. No unbelayed climbing above the bouldering line. 2. Climbers must be roped and belayed through a belay plate. Belays must be anchored. Roped climbers and belayers must wear harnesses. 3. Lead climbers must use adequate protec on to eliminate the possibility of a ground fall at all mes. 4. Inform other climbers of any situa on seen as unsafe or not in accordance with Climbing Wall Safety Policies. All climbers are asked to assist and encourage less experienced climbers. All accidents or equipment damage must be reported immediately. [YMCA] reserves the right to withdraw the membership of any individual permanently or for a specified period of me for breach of contract in following the Climbing Wall Safety Policies, or for any conduct that is viewed as unsafe or inappropriate. In considera on of the use of the Climbing Wall, I acknowledge that I have read and agree to abide by the Climbing Wall Safety Policies.

5 Birthday Party Applicant (Parent or Guardian that Booked the Party) Printed Name Signature Climbers Name Printed Age Climber's Signature Parent/Leagal Guradian Signature (If climber is under 18 yrs old)

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