Adult Consent Form

This consent form is for anyone 18 years old and over. If the participant is under 18 years old, please ask their parent or legal guardian to complete the Junior Consent Form.

Participant Information

Please complete all required fields prior to attending your session or course.

First Name (required) Last Name (required) E-mail Address (required) Phone Number (required) Date of Birth (required) Postcode (required)

Medical Details

Please detail below any physical, mental, or medical conditions that may affect participation in the activities, or state "none" if there are no issues. (Please contact me beforehand if you are unsure).

Medical Details (required)

Emergency Contact

Please provide details for someone who can be contacted in the event of an emergency.

Emergency Contact Name (required) Emergency Contact Number (required)

Participation Statement

Climbing can be mentally and physically demanding, with inherent risks and hazards. Activities are run and supervised by appropriately qualified and experienced instructors. All necessary safety equipment is provided, regularly checked, and maintained. Minor injuries (e.g., cuts and bruises) are possible, and more serious injuries cannot be entirely ruled out. Instructors strive to maintain a safe environment—please follow instructions, ask questions when needed, and bring suitable outdoor clothing, food, and drink. Alcohol or drug intoxication is strictly prohibited.

The British Mountaineering Council (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.

By ticking this box, you agree that the participant details above are correct and that you accept this Participation Statement.

Electronic Signature & Data Protection

To comply with UK GDPR regulations, your personal data is collected and stored securely by Phill Sparks as Data Controller. Data is retained for 3 years from your most recent session to satisfy insurance requirements. You have the right to request access to your stored data or request erasure where applicable under law. Full details are available in the Privacy Policy.

I consent to using an electronic signature in lieu of a paper signature. I agree to the Data Protection Policy and Privacy Policy.

Declaration

I am 18 years of age or older and understand the terms of the booking. I have read and fully agree with the terms, policies, and safety instructions provided.

Print Full Name (required) Today's Date (required)