Consent FormThis form needs to be completed for EVERY participant. Course Information Booking ID * Course Name * Please Select Private Guiding Level One Private Guiding Level Two Private Guiding Level Three Consultancy & Safety Cover Winter Mountain Skills Crevasse Rescue Training Avalanche Safety Equipment Training Hill Day Mountain Day Wild Camping Navigation Training Rock Climbing Climbing - Learn to Lead Scrambling Via Ferrata Hill Skills Mountain Skills Camping Leader Mountain Leader Training Mountain Leader Assessment Mountain Leader Assessment Refresher & Reassessment Courses Course Start Date * MM DD YYYY Participant Information In the boxes below please enter the information of the participant attending. Participant Name * First Name Last Name Email * Date of Birth * MM DD YYYY Phone Number * Address * Street, town, county & country Your Postcode * Medical Conditions Please list in the text box below all medical conditions, disabilities, allergies, special requirements, recent illnesses or other factors that may affect your participation on the activity with us. Please let us know even where you are unsure whether a matter could impact your participation. Let us have full details of your condition(s), as this will help us provide an enjoyable and rewarding day or course for all. Where you think that a medical condition may make it unsafe or risky for you to take part in the activity with us, then we strongly recommend that you seek advice from your GP or medical specialist. Please ensure that you bring any medication that you may need with you on your activity. We may contact you to discuss any information you provide. All information will be treated with confidence. If none - please tick this box Emergency Contact Name * Emergency Contact Number * Participation Statement * The Mountain School UK is a trading name of Sykes Adventure Limited (also abbreviated as MSUK). Outdoor, mountain and adventurous activities often involve learning new skills in unfamiliar environments. As such these activities have an inherent element of risk, which in rare cases can include a danger of personal injury or death. Participants (and/or their parents/guardians) should be aware of these risks. The Mountain School UK has in place stringent procedures to assess and manage any risks involved however you (and your parent/ guardian where applicable) should understand that the activity being undertaken is strenuous and by its nature carries inherent and inevitable risks which, however small, cannot be fully eliminated. The Mountain School UK reserves the right to cancel, modify or adjust any activity where (at its lawful discretion) if it believes there to be unacceptable risk in offering or providing that activity to any person or group. I have read, understood and accept the above participation statement, I am over the age of 18 years and I consent for my participation in such activities and I have read The Mountain School UK’s terms and conditions and understand the terms of this booking or I confirm I am the parent/guardian of the above named participant and that I consent for him or her to take part in such activities and that I have read The Mountain School UK’s terms and conditions and understand the terms of this booking. By ticking this box, you agree that the contact and medical details above are correct and that you agree to our participation statement. I AGREE Data Protection Please read our Privacy Notice which sets out how we will deal with your personal data. Photography and Video * MSUK often takes photographs or videos of our activities to use on our website, or on our official social media accounts. These images or video are a great way of participants having a memento of their trips. We would like your permission to do this. If you agree to MSUK taking or recording imagery of you/the Participant for use on our website or social media accounts please tick the box below. I agree to MSUK taking or recording imagery of me/the Participant for use on its website or social media accounts. I AGREE I DO NOT AGREE Declaration I am or over the age of 18 years and I understand and agree to the terms of the booking and details in this form OR (as applicable) I confirm I am the legal parent/guardian of the named Participant and I understand and agree to the terms of the booking and details in this form. Full Name * Today's Date * MM DD YYYY Thank you!We look forward to meeting you.
