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Health Waiver & Consent Form
First name of Adult/Parent
Last name of Adult/Parent
Name and date of birth of participant
Select an Address
Email
Phone
Emergency Contact Details
Please specify anything we should know about: Health conditions / Allergies / Etc.
You understand that this is a full contact activity, and that you may be at risk of injury?
Photography & Filming: Please UNTICK if you DO NOT give us consent to take/use media of you or child in your care.
I accept terms & conditions
Your Signature
Clear
Submit
Thanks. We look forward to seeing you soon!
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