Medical declaration Form

Please declare any medical / physical or mental conditions, illnesses or allergies which you currently suffer. Please include relevant medications / treatments regime. Also state specific concerns in your ability to cope with heights, exposure to cold, sun or water..

Email (required)

Phone (required)

Address (required)

Activity/course (required)

Activity Date d/m/y (required)

Name	DOB	Emergency Contact	Medical Condition(s)?

Data Protection Statement
Outdoor activities are physical and demanding sports, with inherent risks and hazards associated with them. Whilst we take all necessary steps to ensure the safety of all participants, unfortunately accidents can occur. Participants should consider risks and be aware of hazards. It is imperative that staff instructions are followed.
We accept no responsibility whatsoever for any loss or injury resulting from any persons who chooses to not follow instructions provided. It is understood and agreed that clients participate at their own risk.
I have read, understood and agree with the booking terms and conditions.
THIS INFORMATION WILL BE TREATED WITH THE STRICTEST OF CONFIDENCE AND WILL BE DESTROYED

Data Protection Statement
Highland Outdoor Adventures take your privacy seriously and will only use your personal information for the purpose(s) for which you have provided it and to ensure our legal and professional obligations to provide safe outdoor adventure experiences. We will never share your information with third parties.