Call us |

07803 351 390

Follow us |

07803 351 390

Enrolment

Please fill out the enrolment form below.

About Participant

Contact Information

Check this option and complete to provide a different person's information for use during the expedition, in case of an emergency.

During the expedition we ask for two students in each group to give their phone numbers as "emergency contact" with leaders. Please check this option to give permission for the participant to be the emergency contact. All numbers will be deleted and blocked at the end of the expedition.

Medical Information

Does your son/daughter/ward have any medical conditions that staff should be aware of? Asthma, Diabetes, Epilepsy (or fits), Allergies such as Nuts, medication, plasters, aspirin/paracetamol, dairy products, fabrics, feathers etc.

Does the participant take any medication? Please provide details.

Other Information

Are there any activites your son/daughter/ward should not take part in due to phobias, culutural, medical or other religious reasons?

Does your son/daughter/ward have any special dietry requirements?

Please tell us about any mental health concerns, no matter how small they may seem.

Do you give permission for photos and videos of your son/daughter/ward to appear in promotional material for Ben Bullen Adventures (Website, Facebook, YouTube and leaflets)?

Parental/Guardian Consent