Novice Climber Supervision Form

Supervisors First name

Supervisors Last name

Phone

Pick one

I am a competent climber able to supervise a novice climber.

I am a climbing instructor bringing a group.

Please read through and agree to each term

As the supervising person do you agree to be responsible for the safety and behaviour of you guest(s) during their visit to this centre?

Are you willing and able to assist your guest(s) in the correct use of a climbing harness and tying-in using and appropriate knot?

Will you ensure your Guest(s) belay safely, OR do not belay at all during their visit?

Note: An inexperienced person should not belay without appropriate supervision/assistance.

As the supervising person do you agree to draw your Guest(s) attention to the conditions and rules of use, and ensure that they adhere to these?

Date

Day

Month

Year

Signature

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