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Medical and Consent Forms

Client information

Please include country code ie. +44-UK

Birthday
Day
Month
Year

Medical

If you have any long term medical conditions please include these as current.

Emergency Contact Details

Medical declaration

I declare that the information provided above is a full and accurate record of my medical history and current medical state. If any medical issues arise before my course, I will inform Braw mountain company as soon as possible. I also declare that I know of nothing relating to my health or fitness, which might prohibit me from taking part in the course or might jeopardise myself or other people.


Date
Day
Month
Year

Participation statement

I have read and understood the attached terms and conditions and understand and agree that:

1) Participation in adventurous activities entails some risk of injury. Staff are trained and appropriately qualified to deliver these activities and will at all times proceed in manner to limit the risk of injury. However I understand that accidents and
2) I shall endeavour to act in accordance with the instructions of my instructor/leader/guide, and acknowledge that in failing to do so I am directly responsible for my own actions
 3) I am at a suitable standard of fitness and health to participate in the course I have booked
4) In accordance with GDPR regulations, I consent to the data given on this form and during the booking process being held securely and exclusively by Braw Mountain Company. This information will not be passed on to any third parties. 
5) I consent to photographs being taken during the course, and their use on official Braw Mountain Company social media
6) I consent to my social media profiles and mobile number being used for the purposes of group messaging via messenger or Whatsapp – to discuss meeting points etc and share photos after the event
7) I hereby grant permission for emergency medical treatment and/or medication to be administered by a qualified medical responder in the event of an accident or injury. 
Date
Day
Month
Year

Please complete all required sections to be able to submit form

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