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Medical and Consent Form
Adults attending programmes or sessions on site

First Name(*)
You must provide your name

Surname(*)
Your must provide your surname

Your Email(*)
You must provide a valid email address

Work Phone
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Mobile
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Home Phone
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Address Line 1(*)
You must provide an address

Address Line 2
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County(*)
You must provide your county

Postcode(*)
You must provide your postcode

Select your programme start date(*)
You must select the date from the calendar

Programme Reference(*)
You must input the programme reference code

Are you attending with your work?(*)
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Enter your company name
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It is vital that we are aware of all existing medical issues or medical conditions/illnesses/allergic reactions that you have (e.g. food allergy – please specify foods, asthma, heart conditions, pregnancy, back problems) and any medication that is used to control these conditions (e.g. inhaler, adrenalin etc).

If you have an existing medical condition, we recommend that you take advice from your GP to establish what sort of activity it is safe for you to take part in on your programme. To minimise the risk of picking up insect bites in the outdoors environment we recommend you wear long trousers and stout footwear. This is good practice in countryside areas. Please refer to our suggested kit lists.
Do you have any existing medical conditions?(*)
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Please provide details of any existing medical conditions and any current medications
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Doctor's Name(*)
You must provide your doctor's name

Doctor's Phone(*)
You must provide your doctor's telephone number

Next of Kin(*)
You must provide the name of your next of kin

Relationship to next of kin(*)
You must state the relationship to your next of kin

Kin Home Phone(*)
You must provide a telephone contact number for your next of kin

Kin Mobile Number
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Provided that we are given at least three working days notice we can normally cater for special dietary requirements eg vegetarian, vegan or any allergies. To allow for food preferences our standard menus offer plenty of choice.
Do your require a special diet?(*)
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Please provide details of special dietary requirements
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Please provide your height in feet and inches (required for bike hire)
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I have read, understood and correctly completed this form. I have declared all of my existing dietary and medical conditions. I agree that I will not take part in any activity that I know may aggravate an existing medical condition that I have.

I agree to take responsibility for my personal belongings whilst on my programme. I agree to be a responsible participant on the programme. If agree that if I drink alcohol at the end of an event day, I take full responsibility for my behaviour whilst under the influence of alcohol and any alcohol-induced incidents that may arise from my actions. I understand that I may only consume alcohol obtained from the Woodland Bar at the New Forest Outdoor Centre and that no other alcohol may be brought onto the site.

I agree that any photographs or digital images taken at The New Forest Outdoor Centre may be used by the New Forest Outdoor Centre for publicity purposes. I understand that the New Forest Outdoor Centre may use my email address to send me information about the programme or session I have attended. I understand that my details will NOT be passed on to any other companies or parties.

I declare that I am aware that outdoor activities carry a certain element of risk and that I understand those risks and accept them as part of the activities enjoyment.
Check to confirm(*)
You must check the box to confirm that you have read and understood the form

Prove you are human
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