Participant consent form - Bushcraft Adventures

Participant Medical and Consent form

Consent form for Bushcraft Adventures
Bushcraft Adventures requires your consent to be able to participate in the activities.

You must let us know if any of these details change after submitting your form.

Thank you for taking the time to complete this form.
You will be participating in one or more of these activities, depending on the event you have booked or been invited to. Please read and then complete & submit this form to give your consent to participate & to acknowledge that you have read the declarations below.
Bushcraft activities (e.g. fire lighting, shelter building, water purification and more), scavenger hunts and other outdoor/nature games, archery, throwing arrows, axe throwing, knife throwing, bushtucker trials (including edible bugs fit for human consumption), basic campfire cooking and/or using tools such as knives and saws.

All activities are optional to take part in on the day.
Event Details
Date of the EVENT you are going to *
Date of the event - not today's date
Name of the person who made your booking *
Name of the person who booked the event - this is so that we can identify which event you're attending
Your details

(participant's details - this must be completed by the individual, please do not complete it on someone's behalf)
Your Name *

First Name Last Name
Your phone number *
Please take care to enter your number correctly and without spaces
Your address - note we now ask for this for Track and Trace purposes only *

Street Address

Street Address Line 2

Town / City County

Postcode
Your email address *
In case we need to message you before the event & to message afterwards for feedback & for no other purpose
I would like a copy of this form to be emailed to me *

Yes, I give consent No thank you
Do you have any disability, accessibility requirement or medical condition that may affect your participation and/or you think that we need to be aware of? *

No Yes
If yes, please provide brief details including any medication you carry with you *
Do you have any allergies or phobias, or have you had a recent illness that you think we need to be aware of? eg nut allergy *

No Yes
If yes, please provide brief details *
e.g. allergic to pineapple
I confirm that I am aged 18 or over (please select) *

Yes, I am aged 18+
Never miss an Adventure! Would you like to receive info about our events, special offers & news by email? (you can easily unsubscribe at any time) *

Yes, sign me up! No thank you.
Emergency contact details

Ideally this should be someone who will not be at the event and will be available on the day
Emergency contact name *

First Name Last Name
Their relationship to you *
Their emergency contact phone number *
Please take care to enter your number correctly and without spaces
By submitting your emergency contact's details you confirm that you have their permission to provide their details - please select the box *

Yes, I have their permission
Image Consent
We may take images (photos or video) at events for marketing purposes. These images could be used across print and digital media platforms including print publications, websites, e-marketing, posters, banners, advertising, film and social media. Please note that any images published on websites can be viewed across the world, not just in the UK. Do you consent for us to use images of you in this way? *

Yes - I give consent No
How to withdraw image consent
Please note: if you wish to withdraw your consent and ask us to stop using images of you for future promotional purposes, please email hello@bushcraftadventures.co.uk
Declarations and waiver

Please read then sign and submit the form below
Declarations and waiver - by submitting this form you confirm that you have read and accepted these declarations and waiver
I, the undersigned:
• Agree to abide by the rules as laid down by Bushcraft Adventures;
• Know of NO physical or medical reasons for not participating in any of the activities;
• Agree that medical treatment will be given if necessary and in the case of an emergency and that these details may be shared with the emergency services;
• Am aware of the inherent risk involved in any adventurous activities and understand that even with all the safety measures in place, there is a risk of serious injury or death;
• Understand that it is my responsibility to ensure that I wear appropriate warm and waterproof clothing and closed footwear suitable for an outdoor environment and the activities;
• Understand and accept that Bushcraft Adventures Ltd and its instructors do not accept any responsibility for any loss, damage or injury suffered by persons and/or their property arising out of or during the course of their activities unless such a loss or damage was caused by, or resulted from their negligence or a deliberate act;
• Understand that the information I have provided on this form will be used for the purpose of this event only, it will be shared with Bushcraft Adventures instructors and will be stored securely for seven (7) years in accordance with Bushcraft Adventures’ Privacy Policy https://bushcraftadventures.co.uk/privacy-policy
Covid-19 statement - by submitting this form you confirm that you have read and accepted this statement
I understand that it is my responsibility to ensure that I am following current Welsh Government legal requirements and guidelines, including the current rules on self-isolation: https://gov.wales/self-isolation

Specifically, if:
- I or anyone in my household has a positive covid-19 test result; and/or
- I or anyone in my household has or has had symptoms of coronavirus within the last 10 days; and/or
- I or someone in my household is awaiting test results; and/or 
- I am required to self-isolate (for example being advised by the TPP service or in line with Welsh Government guidance available here: https://gov.wales/self-isolation) 
I understand that I must not attend the event and must not enter Bushcraft Adventures' woodland.

I agree to follow all Bushcraft Adventures' covid-19 protocols.
Signature

Please sign below and then click the submit button
Signature - I have read and understood all of the above and I give my consent to participate. Please use your finger or mouse to sign within the box. *

Clear
Thank you for completing this form.

Please submit the form by clicking on the button below.

We look forward to running your Bushcraft Adventure!
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Participant Medical and Consent form

Event Details

Your details

Emergency contact details

Image Consent

Declarations and waiver

Signature