Medical & Consent Forms – High Tide Adventure Co.

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medical forms

Please complete the medical/consent forms after you have booked your adventure.

If you have any questions, please contact me on wdobson@hightideadventure.co.uk.

ADULT

Date of Adventure

Full Name

Address

Contact Telephone

Email

Date of Birth

Wetsuit Size (Coasteering / Gorge Scrambling Adventures Only)

S M L XL XXL

Name of Emergency Contact

Relationship

Their Contact Telephone

Are there any medical conditions that the Instructors should be made aware of? This information should include asthma, allergies or injuries, if yes please provide details below.

I hereby grant permission for emergency medical treatment or medication to be administered to me by on-site first aiders or qualified medical respondents in the event of an accident.

Yes No

During the activity session photographs and video will be taken and used for publicity to promote High Tide Adventure Company. I agree for photographs and video to be taken.

Yes No

I confirm that I have read and understood the activity information and risks, and I agree to take part voluntarily. I accept the terms and conditions of participation.

UNDER 18

Date of Adventure

Your Name

Your Date of Birth

Wetsuit Size (Coasteering / Gorge Scrambling Adventures Only)

S M L XL XXL

Your Guardian Name

Relationship

Guardian Contact Telephone

Does the above mentioned child have any medical conditions that the Instructors should be made aware of? This information should include asthma, allergies. If yes please provide details below.

I agree to the above named child taking part in this Outdoor activity session, provided by High Tide Adventure Company:

Yes No

I hereby grant permission for emergency medical treatment or medication to be administered to me by on-site first aiders or qualified medical respondents in the event of an accident

Yes No

During the activity session photographs and video will be taken and used for publicity to promote High Tide Adventure Company. I agree for photographs and video to be taken.

Yes No

I confirm that I have read and understood the activity information and risks, and I agree to take part voluntarily. I accept the terms and conditions of participation.

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T: +44 7814 470893

E: wdobson@hightideadventure.co.uk

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Medical / Consent Forms
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Home
Bushcraft
Coasteering
Gorge Scrambling
Mountain Adventures
Adventures for Schools
Gallery
Medical / Consent Forms
Contact