Enrollment Form - T.O.T.- Advanced Level
Family and Last name *
Gender: *
Date of birth *
Country: *
Location: *
Street and number: *
Zip code: *
Telephone: *
E-mail: *
Personal ID number: *
Your occupation and profession *
Level of English: (use scale from 1 to 5, where 1 is professional English and 5 is no English at all): *
Experience in the training field? *
What is your motivation to participate on this training? *
Medical and Health profile/Diet:
Height (cm): *
Weight (kg): *
Answer with YES or NO for the questions:
Allergies (medication, food, others): *
If YES, please explain:
Medical treatment? *
If YES, please explain:
Will you bring any medicine with you? *
If YES, please explain:
Have you been hospitalized in the past two years? *
If YES, please explain:
Cardiac problems? *
If YES, please explain:
Blood pressure problems? *
If YES, please explain:
Problems with back, shoulder, knee, ankle or other joints? *
If YES, please explain:
Other (diabetes, asthma, epilepsy, migraine, etc.) *
If YES, please explain:
In case of women: pregnant? *
Can you swim 50 meters? *
If you require vegetarian meal or if you have any special diet (vega, no pork, no milk, etc.) note here: *
Liability waiver
This OUTWARD BOUND program you intend to participate on is an educational program involving indoor and outdoor sports and recreational activities. The basic method is learning by experience, which means that you will have the possibility to participate in unusual activities, to experiment with different solutions and new behaviors, and to work in a group with other participants. Your experiences will be discussed in a group.

The activities can include hiking, climbing, abseiling and ropes-course elements, as well as group tasks that include more or less physical effort. The programs are designed to fit the participants’ needs and abilities. Participants may choose to not actively participate in an activity but they still must be present for all activities.

The activities are coordinated by qualified, experienced instructors, who take care of both the physical and the psychological safety of the participants.

Some activities involve physical exertion, as well as known and unknown risks. I hereby accept to use all equipment and apparatus provided by OUTWARD BOUND Romania. Our rules are designed to serve the safety and well-being of all participants, they need to be followed by each and every participant.

The information provided by you on this form helps us design a program to fit your needs, your physical abilities and to offer help for any physical limitation you may have. All of this information is confidential.

For minors under 18, smoking as well as alcohol use is expressly forbidden during the entire OUTWARD BOUND course. Illegal or un-prescribed controlled drugs are absolutely not allowed. Failure to comply with this rule will result in the participant being sent home.

OUTWARD BOUND ROMANIA or OUTWARD BOUND INTERNATIONAL and OUTWARD BOUND GLOBAL will not be held responsible for any accidents or other incidents that arise from not complying with rules and regulations.

OUTWARD BOUND is internationally recognized for the emphasis we place on participant safety and during the 20 year operation of OUTWARD BOUND ROMANIA no serious accidents have occurred on our programs.

Do you AGREE to allow Outward Bound Romania to use all images, movies and testimonials what was taken during the training/course for marketing or other purposes? (Unmarked square is considered as positive answer.) *
I declare that I read, I understood and I agree with what is written here on this enrollment form. *
The contact person in case of emergency (english speaker)
Name: *
Relationship: *
Emergency phone: *
How did you find out about this training?
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