Summer Madness Watersports Consent Form

Summer Madness Watersports Consent Form

Please complete all required fields if you want to participate in Water Sports at Summer Madness 25. This may include power boat rides, or kayaking.If you are under 18yrs this most be completed or signed by your parent/guardian or your youth leader in the absence of such.
Name of Camper / participant*

First NameLast Name
Participant contact number

Area CodePhone Number
Age at the time of festival
Emergency contact Name

First NameLast Name
Emergency contact number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to participant
Name of Youth Leader in charge (if under 18yrs)

First NameLast Name
Medical Information
Please detail here any medical condition, recent infectious disease, allergies or disabilities that may affect any participants ability to participate in any of the activities. (Please ensure that you bring any inhalers Epi-pens, etc. to the activity and hand medication to instructor before session) if none, please just state NONE
Medical details
Swimming ability

If you can not swim that does not necessarily stop you from taking part - we fit everyone with buoyancy aids. But you/your legal guardian must have discussed this with Instructor to talk through options.
Can the participant swim?
Consent and Authorization

If the participant is under 18 yrs please have this completed.
Name of Parent/Guardian

First NameLast Name
Contact Number
Format: (000) 000-0000.
Consent email address
example@example.com
Signature of Parent/Guardian
If participant is over 18 yrs - please sign this yourself
Signature
Should be Empty:

Summer Madness Watersports Consent Form

Medical Information

Swimming ability

Consent and Authorization

If participant is over 18 yrs - please sign this yourself