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Over 18 Medical & Consent Form

Please complete the form below so that we have the necessary medical information for everyone who will be staying at Arete Outdoor Centre and will be participating on activities. Please read the declaration and then add your name and date at the end if you agree to all statements on this form.

All information will be treated in strictest confidence inline with GDPR as stated on our site - click here for our privacy policy.

School or Course Name & Dates

First name

Last name

Date of Birth

Details of any medical or physical conditions you have:

Details of any medicine or treatments which you are taking or following:

Details of any known non food related allergies or sensitivities you have:

Details of any dietary requirements and food related allergies:

Can you swim 10m or more?

Yes

CONSENT & DECLARATION

Next of kin name in-case of emergency during the course

Phone number for next of kin

During the course participants are often given cameras to record their time at the centre. Photos of groups, while they are on activity, are sometimes used to promote the centre, allow the participants to record their stay online or on Arete’s social sites.

Yes I'm happy for photos to be taken of myself, shared with group members and possibly be used to promote Arete Outdoor Centre.

Yes I'm happy for photos to be taken of myself and shared with group members.

No I don't wish for any photos to be taken of myself.

CONSENT & DECLARATION STATEMENT:

I understand that Arete, an Adventure Activities Licencing Authority registered company (AALA controlled by HSE), will be providing a programme of adventurous outdoor activities. Participation in outdoor activities does entail some form of risk and I do accept that accidents or injuries can happen, without any contributory negligence from Arete Outdoor Centre or its staff. I consent to participating in adventurous outdoor activities run by Arete Outdoor Centre.

In the unlikely event that immediate medical treatment is required, I agree that appropriate action can be carried out by qualified first aid practitioners. All Arete instructors are qualified and experienced and will always make every effort to keep all risks to a recognised minimum. I agree to inform Arete Outdoor Centre should any of the medical information change before the start of the course or if I come into contact with any infectious diseases 3 weeks before the course starts.

All the information on the participant shall remain confidential and only be passed on to the instructors who will be working with yourself and professional medics in the event of an emergency.

Please tick the check box to agree to the above consent & declaration statement.

Sign here to agree to the Consent & Declaration Statement above

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