Auto Belay Add-on

Only complete this form AFTER you have received an auto belay induction from a member of The Reach staff.

INSTRUCTIONS FOR PARENTS: 
ADULT NAME -and- ADULT BIRTHDAY must be entered first.
Child's information will be entered later

IMPORTANT!
1) Waivers for minors must be signed by a PARENT or GUARDIAN only.

2) Only fill out a form for one person by selecting either 1 Junior or 1 Adult