Consent form

We will ask you to complete this consent form once we have confirmed your next adventure. Each adult participant should complete the form separately. If you have any child (under 18) participants, a parent or legal guardian must complete the child consent form once for each child participant. If you haven’t yet contacted us to arrange your next adventure, please go to the contact page.

Consent

Participant Name

First

Last

Phone (all digits, no spaces)

Address

Date of birth

Any medical conditions or allergies we should be aware of

Emergency Contact Name

First

Last

Emergency Contact Phone

BMC Participation statement: “Climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions.”

I have read, understood and accept the above participation statement, I am or over the age of 18 years, and I understand the terms of the booking.

Lakes Climber may take photos or short video footage to give you after your activity, and/or to use as marketing material on our website and/or social media platforms.

Please tick this box if you do NOT wish us to use your image for these purposes.

Lakes Climber sends email updates every month or so about our activities. You can unsubscribe at any time.

Please tick this box if you are happy to be added to the email list.

If you are human, leave this field blank.