Sussex Road School 2026 - CRS Adventures Medical and Consent Form

Medical and Consent Form

CRS Adventures - enquiries@crsadventures.com - 01364 653444
Participant Details
Name

First NameLast Name
Date of Birth

DayMonthYear
Date
Phone Number
Please enter a valid phone number.Format: 00000000000.
Address

Street Address

Street Address Line 2

CityCounty

Post Code

Consent
Please sign to indicate that:

* You understand the nature of the proposed visit to CRS Adventures including the activities offered and that you consent to participating. For further details please contact CRS Adventures on 01364 653444 or email enquiries@crsadventures.com

* You will inform CRS Adventures of any changes to the above information prior to the date of arrival.

* You acknowledge that adventurous activities may involve some level of risk which cannot be fully eliminated, and you understands the importance of obeying rules and instructions for your own safety and the safety of others.

* If the emergency contact cannot be contacted, you give permission for any emergency dental or medical treatment to be authorised by the party leader whilst the group is away from home.

* You have read and understood the Participants Terms and Conditions available on CRS Adventures website www.crsadventures.com
Name of Group
Date of visit

DayMonthYear
Date
Occasionally, CRS Adventures and River Dart Country Park take photos for marketing materials if you agree for us to use these images please select Yes.
Are you signing as Participant or on behalf of an under 18 year old?
Participant Name

First NameLast Name
Participant Email
example@example.com
Participant Signature
Name of Participant

First NameLast Name
Name of legal guardian

First NameLast Name
Email of legal guardian
example@example.com
Signature of legal guardian
Should be Empty:

Medical and Consent Form