Port Edgar Watersports CIC Activity Consent Form - young and vulnerable persons
By submitting this form you agree to the following:
- The activities provided by Port Edgar Watersports CIC are sometimes of a strenuous and adventurous nature that carry a level of risk to participants. I acknowledge and accept that adventurous activities carry an element of risk.
- I have declared all the participant's relevant medical conditions in the Medical Information section of this form. I declare that the participant is confident in open water whilst wearing a buoyancy aid or lifejacket.
- In the event of an emergency I agree to Port Edgar Watersports CIC or their representative contacting the emergency services on the participant's behalf. I agree that the emergency services may then take responsibility for the participant's care.
- I have read and understood all the information provided in the Booking Terms and Conditions, and Privacy Policy and read and understood the pre-course information.

Please note a form must be completed for each participant.

Participant details
First name *
Your answer
Surname *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Gender - optional
First name of person completing the form (this must be the participant's legal guardian or carer) *
Your answer
Surname of person completing the form *
Your answer
Email address *
Your answer
Phone number *
Your answer
Home address
Your answer
Postcode *
Your answer
Emergency Contact details
Name *
Your answer
Relationship to participant *
Your answer
Phone number *
Your answer
Medical information
Would the participant be considered to have a disability? *
If yes please give details
Your answer
Does the participant have any medical conditions that might affect their participation in our activities? *
If yes please give details, including current medication
Your answer
At the end of each day parents/guardians are asked to "sign out" under 16s. If you are happy for your child to sign themselves out, please tick here.
Photography and Filming Consent *
Sometimes we take photographs or film clips of participants taking part in our courses for coaching and marketing purposes, including our website, social media and brochures. We do not include participants' names unless you request us to.
Where did you hear about us?
Date form completed *
MM
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DD
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YYYY
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