The Peak District Challenge

Name *

First Name

Last Name

Date of Birth *

Notice its Month / Day / Year!

MM

DD

YYYY

What is your role on the trip *

Participant

WJFG Support Staff

WJFG Chef

TAG Staff

WJFG Business *

Please indicate which business you work for

Able & Cole

Belazu

Jacksons Bakery

Wellocks

Group Office

(TAG Staff)

Gender *

This information is required for allocating accommodation.

Male

Female

Other

Prefer not to say

Medical conditions *

Do you have any known medical conditions?

Yes

No

Allergies *

Do you have any allergies?

Yes

No

Photo and video consent *

I consent Team Activity Group to take photos and videos as a means of promoting their business through social media, website, promotional materials.

I agree

I disagree

Understanding and Acceptance of Risk *

Whilst we are dedicated to the safety of our clients & endeavour to ensure all activities are operated to a very high standard of safety, there is always an element of unforeseen risk. Anyone wishing to take part in an activity operated by Team Activity Group does so with this understanding. All activities offered can be physically demanding, therefore you should be in reasonably good health & physically fit before participating. It is always advisable to seek medical advice if unsure. I confirm that the above details given are true and correct and that I am fit and able to participate in the activities. I understand that all activities take place in the outdoors where conditions may be wet, slippery and hazardous. I accept that there is an element in unforeseen risk and agree to take part in the organised activities at my own risk. I agree to comply with the rules & regulations given by the staff at all times & should an instructor feel I am jeopardising the safety of myself and/or others I will be excluded from the activity without refund. I consent to any emergency medical treatment necessary by on-site first aiders or qualified medical respondents in the event of an accident.

I agree