Please fill out the form below.
Please read carefully and sign the declaration below.
a. I give permission for my son/daughter/ward to take part in the visit/residential and the activities highlighted within the additional information provided.
b. I will inform the group leader of any changes in medical or other circumstances between the date of my consent and the date of the event.
c. I agree to my son/daughter/ward receiving medical treatment as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusions, as considered necessary by the medical authorities present.
d. I acknowledge that responsible behaviour on behalf of my son/daughter/ward is required and that should they fail to show such behaviour they may be removed from the event earlier than originally intended by the group leader.
e. Where information has been requested I have given full and honest information using additional sheets if necessary.
f. I understand that if the participant is deemed not fit enough to complete either expedition there will be no refund.
g. In the event of not passing the expedition through any reason (including non-attendance) there is no refund.
h. I understand the extent and limitations of the insurance cover provided. (Policy available on request)
i. I have legal responsibility and am able to give consent for the child named on this form to take part in this activity
j. I understand the child will be making his / her own way to the agreed start point and that Ben Bullen Adventures and the Duke of Edinburgh’s Award will not be responsible for their safety until they reach the start point. Likewise once the child has left the finish point Ben Bullen Adventures and the Duke of Edinburgh’s Award will not be responsible for their safety.
k. I understand that Ben Bullen Adventures uses remote supervision and cannot be with the participants at all times throughout the day.
l. Most activities with Ben Bullen Adventures include one or more adventurous activities. The staff team have, and fully accept, a duty of care to make those activities as safe as is reasonably practical. They are required to adhere to a comprehensive set of safety rules and there is a quality management system to monitor the fact that rules and procedures are adhered to.
However, adventurous activities are inherently hazardous and cannot be completely risk free however hard we try. Accidents can happen without any contributory negligence from the centre or its staff.
Moreover, the environment we work in is such that we cannot “fence off” all hazardous areas. Your son or daughter must therefore help our staff to look after their safety by listening carefully to instructions, by doing what they are asked to do and by not being reckless by trying to do more than they have been briefed to do. Only give your consent if you are confident that they will behave responsibly in this way. Ben Bullen Adventures can accept no responsibility for loss of or damage to personal property or for personal injury not arising as a result of its own action or default.
I understand and accept the above statements. My son or daughter is fit for the course and will inform Ben Bullen Adventures before the course of any special medical conditions that might affect my son’s or daughter’s safety.