MIYC Event - Adrenaline Forest

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Welcome to a MIYC Youth event.

Adrenaline Forest Auckland - 12 Stone Road, Bombay 2675

Prices listed below:

Adult $48 | Student (Bring your ID) $42 | Under 18 $34 (Pay on the day)

Please read the terms and condition below to continue with registration.

PLEASE MAKE SURE YOU ARE OVER 1.4M/140CM TALL TO ATTEND THIS EVENT

Risk Disclosure: In accordance with the Adventure Activities Regulations 2016 we are required to disclose risk associated with our Activities. Please fill out the registration below accordingly.

Full Name *

Date of Birth

Phone Number *

I have received parental consent to attend this event (if under 18)

Yes

Parent name and number (if under 18)

Address

Emergency Contact Number (Someone who is not attending the event) *

Allergies

Required *

I understand that there is a risk of serious harm, death or injury associated with undertaking these activities. Injuries that can occur but are not limited to are: dislocations, fractures, lacerations, bumps, bruises, cuts, chipped teeth, sprains, fatigue.

Required

Required *

I understand there are are consequences if I ignore Adrenalin Forest's safety management procedures and direction.

Required

Required *

I understand that there is a risk from natural events while undertaking these activities, events can include but are not limited to are: earthquakes, tsunamis, lighting, storms, high winds.

Required

Required *

I agree that I will undertake the Adrenalin Forest activities in accordance with the Conditions of Entry and Safety Rules.

Required

Required *

Before I climb and while on the pathways, I will attach my safety devices and remain attached to the safety line at all times.

Required

Required *

I will be responsible at all times for wearing the safety equipment provided and fitted by the staff. I will not share any part of the safety equipment with anyone. I agree to use and treat the safety equipment as instructed in order to minimize the risk of user error or of malfunction due to incorrect use or treatment.

Required

Required *

I consider that I am physically and mentally able to operate the safety equipment correctly and sustain the level of physical exertion and stress resulting from the Adrenalin Forest activities. To the best of my knowledge.

Required

Required *

I certify that I do not have any medical condition or special needs that may affect my own or other's safety.

Required

Required *

I acknowledge that Adrenalin Forest will take any reasonable and practicable steps to keep me safe while I am involved in these activities. However, I agree that I also have a responsibility for my own safety and accept full responsibility for my own actions on inaction's. - Adrenalin Forest will fund you in full at the end of the safety briefing and demonstration if you are not willing or incapable of operating the safety equipment or of undertaking the risk.

Required

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