Booking Form, Participant Details and Emergency Contact Information for The SHAC's Big Adventure 2018 - 13th -17th August.
Please make sure you have an emergency contact that can be contacted at all times while we are away are detailed below.
Email address *
Child's Name
Your answer
Child's Date of Birth
Your answer
Date of last tetanus
MM
/
DD
/
YYYY
Home Address
Your answer
Please provide details of any medical conditions
Your answer
If your child will be on medication whilst we are away please provide details and doses.
Your answer
Can swim 50m or more unassisted.
Emergency Contact Name *
Your answer
Email *
Your answer
Address *
Your answer
Emergency Phone numbers. *
Your answer
Disclaimer: The Surrey Hills Adventure Company accepts no responsibility whatsoever for any injury or illness sustained or suffered by any person or persons so engaging in any activities offered by ourselves. We also accept no responsibility for any loss or damage to personal belongings however caused, whether due to negligence of ourselves or arising from the use of activities made available. *
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