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The Lookout Club — Member Registration

Welcome to The Lookout Club! Please complete this form once before joining our Facebook group. Each person must fill in their own form. If you are registering someone else, please have them complete a separate form in their own name.

About You

Full Name (First and Last Name)

Email address

Phone Number

Age & Parental Consent

The Lookout Club welcomes members aged 16 and over. If you are 15 or younger you are not able to register at this stage. If you have a question about this please contact Maria directly.

If you are 16 or 17 years old a parent or guardian must either attend the hike with you or provide consent below. If you are 18 or over please skip to the next section.

Are you under 18?

Are you under 18?
A
B

Parent or guardian full name

Parent or guardian phone number

Parent or guardian email address

My parent or guardian will

My parent or guardian will

Consent confirmation Required if under 18

Consent confirmation Required if under 18

Emergency Contact

Please provide details for someone we can contact in case of an emergency. This must be a different person from yourself.

Emergency contact full name

Their relationship to you

Emergency contact phone number

Health & Safety

Please only share details that are relevant to hiking — for example asthma, a severe allergy, diabetes, mobility issues, a recent injury or important medication. You do not need to share anything else.

Do you have any health or safety information Maria should know about?

Do you have any health or safety information Maria should know about?
A
B

Please give details

Hike Preference

What type of hike are you interested in? Tick all that apply.

What type of hike are you interested in? Tick all that apply.

Club Acknowledgements

Just a quick note before you join

Just a quick note before you join

Privacy

Privacy Note

Privacy Note

Anything else Maria should know