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Up ENDing Parkinson's - Participant Waiver and Release of Liability 

Participant Information
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Acknowledgment of Risk
I understand that participation in an indoor rock climbing activity, including those offered to
people with Parkinson’s disease by gyms affiliated with Up ENDing Parkinson's (UEP), involves
inherent risks including falling, rope burns, muscle strains, and the potential aggravation of
existing medical conditions. 2 I acknowledge that climbing activities may be physically
demanding and require a level of health and fitness that I am responsible for assessing with my
healthcare provider.

Medical Responsibility
UEP encourages participants to consult with their physician or healthcare provider before
climbing. I certify that I am voluntarily participating in a climbing program offered by an
affiliate of UEP. I certify (i) that I have consulted with my physician or healthcare provider to
determine that it is safe for me to do so or (ii) that I have voluntarily declined such consultation. I
understand that UEP volunteers and staff are not medical professionals and will not provide
medical advice or treatment.

Release and Waiver of Liability
In consideration of being permitted to participate in a climbing program offered by an affiliate of
UEP, I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin,
hereby release, indemnify, and hold harmless Up ENDing Parkinson's, its officers, directors,
staff, volunteers, and sponsors from any and all claims, demands, losses, or liabilities arising
from or related to any injury, disability, or loss I may sustain while participating in such a
climbing program.

Participant Consent
I have read this waiver and release of liability in full. I fully understand its terms and understand
that I am giving up substantial rights by signing it. I sign this waiver freely and voluntarily.

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