Participant Waiver/ Medical Info

Child First name

Last name

Age of participant

Parent / Guardian name

Phone

Address

Is there anything we should know about your child? ( shyness, low confidence?)

Does your child have any of the following?

Special educational needs?

Allergies?

Medical conditions i.asthma, diabetes, hearing, bone or joint issues?

Other

If ticked above please give information?

I give permission for Nature Beanz Adventures to administer minor first aid treatment to my child in the event of a small injury and I give permission to Nature Beanz Adventures to seek medical treatment for my child in the event of an emergency

I give permission for my child to be photographed

As part of the Nature Beanz Adventures we have planned a series of activities and visits which could include adventurous and outdoor activities. All staff have and fully accept, a duty of care to make those activities as safe as is reasonably practical. However, adventurous activities are inherently hazardous and cannot be completely risk free however hard we try. Accidents can happen without any contributory negligence from Nature Beanz or its staff.

Moreover, the environment we use is such that we cannot “fence off” all hazardous areas. Your child must therefore help our staff to look after their safety by listening carefully to instructions, by doing what they are asked to do and by not being reckless. Only give your consent if you are confident that they will behave responsibly in this way. Nature Beanz Adventures can accept no responsibility for loss of or damage to personal property or for personal injury not arising as a result of its own action

I understand and accept the above statements. My child is fit for the programme and I will inform Nature Beanz Adventures of any special medical conditions that might affect my child’s safety.

By signing this form I give full consent to my child being photographed and filmed during the above activities, which may be used to display positive images on registered web sites or social media.

Date

Day

Month

Year

Signature

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Adventure Outdoor

With Nature Beanz Adventures