Parental Consent Form - The Boulder Bunker | The Bunker Activity Centre

Under our current guidance all waivers with child details must be retained until their 21st birthday. All other waivers are retained for a minimum of 6 years of your last interaction with us.

Parental Consent Form – The Boulder Bunker , we do not share data with third parties.

Date(Required)

Child 1 Name(Required)

First Last

Child 1 Date of Birth(Required)

Child 2 Name

First Last

Child 2 Date of Birth

All details below to be completed by parent/guardian

Photo/Media Permission(Required)

Do you give permission for images of your child to be used in our own marketing.

Yes I give consent for images of my child to be used

No I do not give permission for images of my child to be used

Name(Required)

First Last

Mobile(Required)

Home Phone

Email(Required)

Emergency Contact Details if different from above

Emergency Contact Name

First Last

Emergency Contact Phone

Medical Matters

Medical details

Does your son/daughter have any medical problems you feel we should know about? (include all details about Asthma, Diabetes, Epilepsy if applicable)

Medicines

Please include below details of any medicines being taken, any allergies e.g. penicillin, plasters etc or special dietary or other treatment necessary, that may affect participation.

Allergies

Other details

Other treatment

Religious need

Any Religious needs

Parental Consent

I am aware that climbing, hill walking and mountaineering are activities with a danger of personal injury or death. I have understood the nature of the activity and accept the risk involved. I confirm I am the parent/guardian of the above named child and that I consent for him or her to take part in the activity. I consent to any emergency medical treatment necessary during the course of the events including the administration of anaesthetics.

SIGNED (parent/guardian only)

If attending a Party please put the name of the party here

Have you watched the safety video

Yes

Date(Required)

BMC Participation Statement

The BMC recognises that climbing, hill walking and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement