• Personal Details

  • MM slash DD slash YYYY
  • To contact in case of emergency

    Once you have read the “ROPED CLIMBING & BOULDERING CONDITIONS OF USE AND RULES” of Activate Climbing Center, you must answer the following questions by selecting “YES” or “NO” in the box provided then sign the declaration at the bottom of this form. Only people giving satisfactory answers to the questions will be registered and allowed to climb unsupervised
  • Consent

  • This field is for validation purposes and should be left unchanged.