Glamping Adventure - Consent Form

Glamping Adventure - Consent Form
Participant Name

First NameMiddle NameLast Name
Membership Number
The membership was texted to you when you completed the consent form online. Please add this number at the text above and if you dont have one please complete the below link and we will create one for you. https://zsdefenceacademy.co.uk/consent/
Email
example@example.com
Phone Number
Please enter a valid phone number in the format 7720636847 (you do not need to add the 0).Format: (000) 000-0000.
Glamping Adventure - Fri 27th Sept, Sat 28th Sept, Sun 29th Sept (max 40 ppl)
Do you have any medical conditions and what medication are you currently taking?
Itinerary for Camping Trip

Self-Catering Glamping Pod village expereince with exclusively for 40 women. We will all work together to make this a great experience. Sister Power 😊

No meals or drinks will be supplied

The cost of £132.50 includes the full experience, transport, Team building activities, optional Cold dip, Yoga, sleeping x2 nights in a glamping pod and cooking outside the campsite which includes cooking equipment.

Cooking Items included in the price. All cooking equipment will be shared with groups of 3 ladies. Items include:

- Camping stove & holder

- Camping gas

- Pots, kettle and pan

- BBQ grill pan

- Lighter

- Towel, sponge & small oven gloves

All items will be returned in the same cleaned and original condition. For any items that are not returned in this state, a charge of £50 will be applied to the individual.

Friday 27th Sept 24

3pm set off - Meeting point: Littleharwood Children Centre, Robinson Street, Blackburn, BB1 5PE (Please do not park your car at the centre as this closes at 6pm and your car could get locked in, park on the main road. Make sure you're on time as we will not be waiting for anyone. We will setting off promptly at 3pm)

5pm Reach the Glamping Pods Village - Due to the tight roads the 40 seater coach cannot travel to the main glamping pod area. A short walk to the glamping pods and your lugage will be driven in by the orginsaiers on site. Settle into your rooms

6.30pm – Mandatory meeting at the fitness area and discussion on using the cooking equipment, rules and regulations and icebreaker.

8pm Dinner – You will need to cook you own food on the cooking equipment supplied

9pm Short walk/Games (optional)

10pm Wellbeing session and story telling/fire pit gathering (optional)

11pm Bedtime

(Prayer time inbetween)

Saturday 28th Sept

8.30am - Wake up, Cook your breakfast on the cooking equipment provided (Please bring your own plate, cup and cutlery to use as this will not be provided)

10am - Short walk and grounding

12pm - Arrive at base

12.30pm - Prepare lunch on cooking equipment provided

2pm - Team building games and exercise in fitness area outside

4pm - Cold dip (optional)

5pm - Yoga session - Yoga mat required (optional)

7pm – Cook your own dinner on the cooking utensils provided (Please bring your own plate, cup and clutery to use as this will not be provided)

9pm - Relax outside with hot chocolate

10pm - wellbeing session and story telling around fire pit

11pm - Bedtime

(prayers in between)

Sunday 29th Sept

8am - Wake up and prepare self-serve breakfast on the cooking equipment provided (Please bring your own plate, cup and cutlery to use as this will not be provided)

9am - Pack items away and clean your own pods - Please bring your luggage to the car park

10am - Transport will arrive

1pm - Return back to Blackburn drop off point Littleharwood Children Centre, Robinson Street, Blackburn, BB1 5PE

(prayers inbetween)
Regular questions:

Shower and toilet facilities available on site Yes

Do you have reception on site – Not sure but there will be Wi-Fi nearby

Access to electricity to charge phone – Yes

Access to a fridge and freezer - yes

A dedicated fitness area for yoga - yes
Please add emergency name, relationship and contact number. (We have no reception at the venue and only access to emergency services. We will contact upon having an emergency)
I am the participant and happy to participate in the activity specified above. This venue does not have a reception and no access to internetI understand that participation in this activity involves the risk of personal injury, due to the physical, mental, and emotional challenges in the activities offered. I will take full responsibility and any participant under 18s - the parent/guardian will take responsibility.I am giving my consent in case of an emergency, and in the event I cannot be reached, medical provider can secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication. Medical providers are authorized to disclose protected health information to the adult in charge and/or any physician or health care provider involved in providing medical care to the participant.No refunds permitted for the residential weekendWith appreciation of the dangers and risks associated with programs and activities including preparations for and transportation to and from the activity, on my own behalf and/or on behalf of my child, I hereby fully and completely release and waive any and all claims for personal injury, death or loss that may arise against the organization, the local council, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with any program activity.I will aim to arrive on time for the transport at the specified date/time and will inform the organiser 07720636847 incase of an emergency. I hereby agree for the coach to leave if i do not arrive on time and the cost of £132.50 will not be refunded and will be donated to the charity Z's Defence Academy
Name

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Signature

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Glamping List

Meals will not be supplied - please bring:

x2 breakfast

x2 lunch

x3 Dinner

Snacks, Tea, coffee and Drinks

Foods are you can bring: Pasta, mix grill, bread, eggs, porridge, paratha,

Day Bag Pack for Hike

-          Small Bag pack

-          Bladder bag for water – 3 litres

-          Waterproof jacket and pants

-          Hiking Snacks

-          Lunch

- Yoga Mat

-          Fruit

-          Hydration sweets/tablets

-          Gloves, Hat, Scarf, Buff

-          Head Torch

- Power Bank

-          Personal first aid kit

-          Walking poles (necessity)

-          Antibacterial wipes

-          Sun cream

Essential Items Required for Camping

- Walking Sticks

-          Rucksack

-          Sleeping bag (3 season is recommended)

- travel Pillow

-          Headtorch or torch

-          Water bottle

-          Lunch box

-          Plate, bowl, mug, cutlery (knife, fork, spoon)

-          Camping chair (optional)

-          Personal toiletries

-          Personal medication

-          Ear plugs (optional)

-          Small towel

-          Toothbrush and toothpaste

-          First Aid kit

-          Insect repellent

-          Sun cream

Clothing

-          Walking trousers (not jeans as once they’re wet, they will stay wet)

-          T-shirt

-          Mid layer (thin, long sleeve)

-          Fleece layer

-          Warm top for the evening

-          Underwear and socks!

- Swimwear

-          Warm jacket

-          Waterproof jacket and over trousers (these are absolutely essential)

-          Hat, gloves, scarf or buff

-          Sturdy walking boots

-          Trainers, wellies or flip flops for the campsite

-          Swimming costume (optional)

-          Wetsuit if you have one (optional)

-          Neoprene swim socks and gloves (optional)

-          Large towel

-          Clothes to wear in bed (your choice!)

Thank You

Z’s Defence Academy

07720636847
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