Name
*
First Name
Last Name
E-mail address
*
Contact number
*
First line of address
*
Post code
*
Please select which course dates you are booking for:
*
11th & 12th May 2024 - 2 day Forest School First Aid Course
Your booking will be secured on receipt of payment *
Pay by PayPal (If you wish to pay via BACs please leave this question blank and answer the following question)
prev
next
( X )
Certified
£
185.00
NFS Student Discount Certified
£
148.00
Total
£
0.00
The activities you will be taking part in may involve long periods of physical exercises and therefore it is important for any diagnosed activity to be declared prior to the activity. By signing this form you are agreeing to take part in outdoor activities with Newquay Forest School and understand that the activities will contain an element of risk.
*
(TICK BOX IF) I am aged 18 or over, have considered the risks involved in undertaking the activity including risk of bumps, scrapes, cuts, bruises and other injuries and agree to undertake the activity. I understand that Newquay Forest School accepts no responsibility for loss, damage or injury caused by or during participation in the activity, except where the loss, damage or injury was caused directly by negligence on the part of Newquay Forest School. I certify that I do not have any medical condition (including pregnancy) which might make it more likely that I be involved in an incident which would result in injury to myself.
Have you undergone surgery in the last 12 months?
*
Yes
No
Have you been diagnosed with any condition which might prevent or restrict your involvement in the above activity?
*
Yes
No
Are you currently taking any medication?
*
Yes
No
If yes please state the medication you are taking:
Please record any current medical conditions, dietary requirements or allergies:
Please let us know your next of kin, relationship to you and a contact number
*
e.g. Dan, husband, 0123456789
Signature - Please sign here to verify your consent to this booking by drawing your signature using your finger, touch pad or mouse.
*
Save
Submit
Should be Empty: