Activity Booking Form

Medical Consent:
I undertake to inform the staff of any changes in the health or medication of my child as and when necessary. I agree that staff from Creative International adventures may, in the event of an emergency, give permission for my child to receive medical treatment. Yes No

Participation Consent:
I give my consent to my child participating in the activities listed:
Abseiling, Archery, Artificial Cave, Boarding, Bouldering, Bushcraft, Canoeing, Challenge Games, Circus, Skills, Climbing, Crevasse Crossing, Egg Drop, Food Forage, Frisbee Golf, Geocaching, Gorge Crossing, GPS Trail, High Line, Jacobs Ladder, Ladder Climb, Leap of Faith, Log Challenge, Low Ropes, Mountain Biking, Mountaineering Challenge, Night Line, Orienteering, Over the Wall, Pioneering, Pond Dipping, Scavenger Hunt, Search & Rescue, Slack Line, Street Surfing, Vew Do Boards, Walking, Zip Wire.

I have been informed of and have read the information relating to the activities. I have ensured that my child understands that it is important that for their own and the groups safety that any instructions given by staff must be complied with.

Yes No

Photography Consent:
I give permission to Creative International Adventures to take photographs of my child for promotional purposes. I understand that the photographs may be used on leaflets, booklets, display material and may also be placed on the Creative International Adventures websites. Yes No

Venue and Transport Consent:
I am aware that on rare occasions Creative International Adventures use alternative venues and children will be escorted to these areas on foot or public transport by staff or in fully insured staff vehicles. Yes No

Would you like to receive information about Halifax Holiday Club and future activities and events. Yes No

Does the participant suffer from any of the following medical conditions, injuries or have any special requirements? (Please tick all that apply)

Allergy
Asthma
Epilepsy
Other
Known Injuries
Dietary / Food
None

Please provide full details of the medical condition / injuries / requirements