Aled Oddy Friluftsliv Adult Participant Form

Aled Oddy Friluftsliv Adult Participant Form

Introduction
This form must be filled in by all adult participants in an AOF Activity prior to the activity taking place.

It provides us with the information to:
- Effectively communicate with you.
- Invoice correctly.
- Prepare a safe, appropriate and engaging activity for all participants.
In addition to the above it is a requirement of our insurance and therefore we reserve the right to share it with them if requested but will inform you if such a request is made.

For further information on how we process the information you provide please refer to our privacy statement.

Section 1

Personal Information
Name of client*

PrefixFirst NameLast Name
Date of birth*

MonthDayYear
Date
Contact Email*

Confirmation Emailexample@example.com
Contact telephone number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

Town/City/Village etc.County

Post Code

Section 2

Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Number *
Please enter a valid phone number.
Relationship to participant*

Section 3

Accessibility Information
A core part of AOF's philosophy is trying to make our activites as accessible as possible (for further information please see our accessibility policy) and as such we need to collect information that will help us in that aim and cater to our client's needs as individuals. To be clear we use this information, including medical, not to try and find ways to exclude people from activites but rather to find ways for them to participate in a way that is safe and appropriate for them.

As is to be expected this data will be treated as strictly confidential and, where applicable, as special category data under UK GDPR (for further information please see our privacy policy). With this in mind please be as specific as possible and are comfortable with to enable us to fulfil the aims and objectives laid out above. If you have any questions about how we process this information please don't hesitate to ask and if any of it changes by the day of the event don't hesitate to inform your instructor/coach/guide.
Do you have a condition/impairment that would benefit from specifc support and/or a reasonable adjustments being made? This includes those that are physical, sensory or developmental in nature along with any of the various forms of learning difficulties (dyslexia, dyspraxia etc.), neurodivergences (Autism, ADHD etc.) and mental health conditions (depression, anxiety etc.).
Do you have any injuries or niggles that you are dealing with?
Do you have any medical conditions that could impact on your participation in the session?
Do you have any medical conditions that require specific procedures in case of emergencies or should be disclosed to emergency services in the case of an emergency?
Are there any other considerations you would like us to note such as preferred pronouns or specific life circumstances you would like us to know about not applicable to one of the above boxes?

Section 4

Declarations
Below is a series of declarations to be signed by yourself. Please ensure you have read and understand them; if you have any questions regarding them please don't hesitate to ask.
I understand that mountain walking, climbing and bouldering are activities that have inherent danger and while all steps will be taken to minimise risk, these activities remain potentially dangerous. As such, I agree to adhere to any and all safety instruction.

I confirm that all equipment provided by myself is in good condition and is safe for the activity. If deemed unsafe, I agree to use alternative equipment or potentially, agree to end the session early.

I take responsibility for my own actions, declare that I am in a good physical condition to engage in the activity and agree to participate in the session
Name*

First NameLast Name
Signature*

Powered by Jotform SignClear

Section 5

Consents
We try and limit the amount of email marketing we do so as not to clog up people's inboxes and instead focus on personalised and focused communication. Please feel free to pick either option below and know you can opt-in or out at any point*

I consent to receiving marketing emailsI do not consent to receiving marketing emails
Photos taken during sessions will often be used for promotional material; including but not limited to social media. Please feel free to pick either option and if you have any concerns or wish to change your answer please feel free to speak to/contact us.*

I consent to images of me being used in promotional materialI do not consent to images of me being used in promotional material
Should be Empty:

Aled Oddy Friluftsliv Adult Participant Form

Section 1

Section 2

Section 3

Section 4

Section 5