Participant Consent Form

Each individual participant must complete a separate form entry.

First name

Last name

Phone

Date of Birth

Day

Month

Year

Address line 1

Address line 2

Town/City

Postcode

Emergency contact name

Emergency contact relationship to you

Emergency contact telephone number

Medical history including but not limited to: Health conditions, medication and allergies.

Activity & dates booked

Your personal experience related to your booked activity.

Please read the following statements and check the boxes to agree.

Our activities are potentially dangerous and do carry a level of risk to you. "The BMC recognises that 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." We hold a public liability insurance policy, however, you are advised to take out your own insurance to cover cancellation, loss/damage of property or personal accident.

We may use photographs & videos taken during our activities for our website and/or social media. Please check this box to give consent for media of yourself to be used by us.