Activity Consent / Medical Information & Acceptance of Risk Form

Please complete this form before your coaching session. The information you provide helps ensure your safety and enables me to deliver a session tailored to your needs. All details are kept secure and are only used for emergency, medical, and coaching-related purposes.

Social Media

Activity / Course

Date

Participant Information

First Name

Last Name

D.O.B

Phone

Address

Emergency Contact Details

Name

Address

Emergency contact number

Relationship to participant

Medical Information

Please list any medical conditions, allergies, injuries, or additional needs the coach should be aware of:
(Examples: asthma, allergies, previous injuries, medication requirements)

Add answer here

Do you give permission for emergency first aid to be administered, including the use of anaesthetics if deemed necessary qualified medical respondants?

Photography & Media Consent

Photographs and video may be taken during coaching sessions for use in Trail Explorer promotional material, including social media and marketing. Copies of any images or video will also be shared with you. Do you consent to this?

Participant Declaration – Acceptance of Risk

I confirm that the information provided is accurate and that I am fit to take part in the activity. I understand that mountain biking involves inherent risks that cannot be completely eliminated, including falls, collisions, terrain hazards, and weather conditions.

I agree to follow all safety instructions provided by the coach and accept responsibility for my own actions during the activity.

Name

Your Signature

Date

Parent / Guardian Consent (for participants under 18)

If the participant is under 18, this section must be completed by a parent or legal guardian.

I confirm that I am the parent/guardian of the named participant and give permission for them to take part in this activity. I have read and understand the information provided, including the risks associated with mountain biking.

I confirm that the medical details provided are accurate and agree that my child must follow all safety instructions given by the coach.

Parent/Guardian Name

Date

Emergency Contact if different from above

Parent/Guardian Signature

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I agree to the terms & conditions

Thanks for submitting!