Consent Forms

Please fill in the below forms relevant to the age group of those taking part.

    OVER 18 Consent Form 
    Emergency Details
    Medical Conditions
    Do you suffer from any of the following, if yes please give details.
    Asthma/Bronchitis/Tuberculosis/Epilepsy/Fainting/Chest Problems/Diabetes/Migraines/Raised Blood Pressure/Heart Trouble

    Medication
    Are you taking any regular medication, if yes please give details below
    Allergies
    Do you have any allergies, if yes please give details 
    Acknowledgment of Risk

    Please read the following carefully, once you have read it please indicate your agreement by signing below. 
    Statement of Risk:
    Outdoor and adventurous activities often involve learning new skills in unfamiliar environments. With this in mind the activities have an element of risk, which includes a danger of personal injury or death. Participants and/or their parents/guardians undertaking these activities should be aware of and accept these risks and be responsible for their own actions. The Wilderness Company ensures that it’s range of safety management systems are inspected regularly by external National Governing Bodies, including the Adventure Activities Licencing Authority, and an external technical advisor. The Wilderness Company reserves the right to cancel or modify any activity if it believes there to be unacceptable risk attached in offering such an activity. The Wilderness Company’s decision making is at its sole discretion. 
    I understand that I am taking part in activities provided by The Wilderness Company at my own risk and understand that The Wilderness Company are not able to eliminate all risks from the activities. I accept that The Wilderness Company will not accept any liability for any damage to or loss of property belonging to customers, except in the case of death or personal injury caused by the negligence of The Wilderness Company staff. 
    Data Protection:
    Your personal details will be stored and used by The Wilderness Company to send you important information on matters relating to your booking. Your information will NOT be shared with other organisations or used for any other purpose without your consent. 
    I hereby agree to participate in adventure activities provided by The Wilderness Company. I have read and understood the Acknowledgement of Risk and have completed the Medical Information section. I also agree to my receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present. The medical information given in this form will not be retained beyond the completion of your visit to The Wilderness Company 

    UNder 18 Consent Form 
    Emergency Details
    Please give an additional contact 
    Medical Conditions
    Does the child you suffer from any of the following, if yes please give details. 
    Asthma/Bronchitis/Tuberculosis/Epilepsy/Fainting/Chest Problems/Diabetes/Migraines/Raised Blood Pressure/Heart Trouble

    Others that may be relevant.

    Medication
    Is the child  taking any regular medication, if yes please give details below
    Allergies
    Does the child have any allergies, if yes please give details 
    Acknowledgment of Risk

    Please read the following carefully, once you have read it please indicate your agreement by signing below. 
    Statement of Risk:
    Outdoor and adventurous activities often involve learning new skills in unfamiliar environments. With this in mind the activities have an element of risk, which includes a danger of personal injury or death. Participants and/or their parents/guardians undertaking these activities should be aware of and accept these risks and be responsible for their own actions. The Wilderness Company ensures that it’s range of safety management systems are inspected regularly by external National Governing Bodies, including the Adventure Activities Licencing Authority, and an external technical advisor. The Wilderness Company reserves the right to cancel or modify any activity if it believes there to be unacceptable risk attached in offering such an activity. The Wilderness Company’s decision making is at its sole discretion. 
    I understand that the child named is taking part in activities provided by The Wilderness Company at your own risk and understand that The Wilderness Company are not able to eliminate all risks from the activities. I accept that The Wilderness Company will not accept any liability for any damage to or loss of property belonging to customers, except in the case of death or personal injury caused by the negligence of The Wilderness Company staff. 
    Data Protection:
    Your personal details will be stored and used by The Wilderness Company to send you important information on matters relating to your booking. Your information will NOT be shared with other organisations or used for any other purpose without your consent. 
    I hereby give my consent for the child named to participate in adventure activities provided by The Wilderness Company. I have read and understood the Acknowledgement of Risk and have completed the Medical Information section. I also agree to the child named receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present. The medical information given in this form will not be retained beyond the completion of your visit to The Wilderness Company