Gibbon Adventures - participation form

Gibbon Adventures - participation form
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Emergency Contact: (Name and relation)
Emergency Contact phone number
Relevant medical history:
Medications your currently taking
Allergies
Age
Dates booked
Photographs:

Please tick this box if you would NOT like us to take photos
If you are happy for us to tag you in social media posts, please share your Instagram handle and Facebook name below:
What's your ultimate goal / aim for the course?
What would you like to Learn?
What previous experience do you have?
Your current climbing ability?
Let us know the area you intend to stay (we might adjust the course meeting location to suit you).
"The BMC recognises that climbing, hill walking and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement."
Acknowledgement of risk
Signature

Clear
Should be Empty: