Online Forms

Please select the appropriate form from below, fill in and submit!

If you have problems or require help, then please contact me HERE.

Participation Form

Please complete and SUBMIT a form for each participant

Booking Reference *

Please use your organisers name as the reference.

Name *

Contact Number *

Activity Date *

Activity/Activities *

DOB *

Age *

Email *

Address *

Emergency Contact Name *

Emergency Contact Number *

Shoe Size *

Chest Size cm *

Height cm *

Wetsuits for children under 14yrs in cm

Please measure the distance from the base of the neck (where the collar bones meet) on the front of the child to just underneath the crotch.

How did you find Mountain Rat Adventures?

What are your sporting interests and hobbbies?

Do you have any medical conditions? If YES, please specify. *

Declaration and Consent. Please tick all boxes that apply

I permit photographs taken on our adventure to be used in future advertising and promotions.
I am happy for you to use my data to contact me in the future with relevant offers or information.
I give my permission to pass on my email address to ICOPro for administration and member purposes.

I understand and accept that I am about to undertake an adventurous activity and, as such, recognise that there is an inherent risk. As a participant, I am aware of and accept these risks. Therefore I am responsible for my actions. I will follow the guidance and advice given to me by the instructor to minimise that risk. I understand that not following the guidance and advice could lead to serious injury. I undertake to not be under the influence of alcohol or other drugs that may impair my ability to take part in this activity safely. I have truthfully declared all medical conditions and any conditions that might affect my ability to participate in an adventurous activity. I understand that I am responsible for any persons under the age of 18 years that I have signed for below. I understand that photographs may be taken by the instructor over the course of the activity for free.

Please confirm you agree with the above statement by filling in the name of the participant / parent / guardian below and pressing SUBMIT *

First

Last

Name

Young Person's Participation Form

Each participant under 18 years old must complete and SUBMIT a form.

Booking Reference *

Please use your organisers name as the reference.

Activity Date *

Activity/Activities *

Name Of Participant *

Contact Number *

DOB *

Age *

Address *

Emergency Contact Name *

Relationship to Participant *

Emergency Contact Number 1 *

Emergency Contact Number 2

Email *

Shoe Size *

Chest Size cm *

Height cm *

Wetsuits for children under 14yrs in cm

Please measure the distance from the base of the neck (where the collar bones meet) on the front of the child to just underneath the crotch.

How did you find Mountain Rat Adventures?

What are your sporting interests and hobbbies?

Do you have any medical conditions? If YES, please specify. *

Details of any medication. *

Please, list any medication and any special instructions for its use.

Statement of Risk *

I confirm I have read and understand the following statement of risk.

Mountain Rat Adventures places safety as a top priority. Adventurous activities involve some risks for the people taking part. We aim to keep these risks as low as possible. The chances of serious injury are extremely low but the chance of minor injuries (bruises, bumps and – less likely – minor fractures) are a possible result of taking part in adventurous activities. We will minimise the actual dangers by: • Carrying out a careful assessment of all risks before commencing the activity • Only using experienced instructors with the appropriate qualifications for the activity • Giving clear safety instructions to everyone participating • Ensuring equipment and clothing is well maintained and suitable for the activity and environment • Ensuring activities are within the capabilities of the participants • Asking participants to supply medical conditions or information • Ensuring good hygiene standards are kept We expect participants to co-operate with Mountain Rat Adventures and their team, to ensure the safety of all participants, by following instructions and answering questions honestly about any medical conditions or other information relating to health and safety.

Photographs

I permit photographs taken of our son/daughter's' adventure to be used in future advertising and promotions.
I permit photographs taken of our son/daughter's' adventure to be used on social media.

Declaration and Consent. Please tick all boxes that apply

I am happy for you to use my data to contact me in the future with relevant offers or information.
I give my permission to pass on my email address to ICOPro for administration and member purposes.

I agree to my son/daughter taking part in the activity(s) outlined above. I understand that my son/daughter will take part at his/her own risk, and accept that no responsibility for accidents or injuries or loss or damage to personal property rests with the supervisory staff, unless proven to be caused by their negligence. I declare that to the best of my knowledge my son/daughter is competent and medically fit to participate in the activities as part of the group. I agree that treatment will be given if necessary and in case of emergency. I understand the information from this activity may be stored digitally. I agree that a similar activity may be substituted due to safety factors or weather conditions.

I confirm and agree with the above statement and permit my son/daughter to take part in the above adventure *

First

Last

Please confirm you agree with the above statement by filling in your name as the parent / guardian and pressing SUBMIT

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