Consent Form For Climbers Leave this field blank Name of Parent/ Guardian Name of child if completing on their behalf Emergency Contact Name Emergency Contact Number Tree Climbing Rules: Before Climbing We will go through these instructions again during our safety talk but it is good practice for climbers to be aware of the rules before the day. Select all On the ground watch out for trip hazards and holes Make sure you have removed all items from your pockets before you enter the climbing area Long hair must be tied back Do not enter climbing area until you are told to Once you have got your gear on do not adjust your harness (if it’s uncomfortable, tell the instructor) Make sure that you have limbered up sufficiently before your climb Tree Climbing Rules: While Climbing We will go through these instructions again during our safety talk but it is good practice for climbers to be aware of the rules before the day. Select all Once you have been clipped into the climbing rope do not touch your karabiner (this is the metal clip that attaches your harness to your rope). You will be secured to the climbing rope for the entire duration of the climb Beware of scratching yourself on the tree. It is advised that climbers wear long sleeves and long trousers Be aware of the potential for swinging into objects (people & the tree) Do not touch any other climber or their rope without their permission Climbers must keep their rope tight & under tension at all times Do not climb above your anchor point (where your rope is attached at the top of the tree) Do not pull down on the blue knot unless told to do so If you are frightened or hurt when you are climbing call for the instructor When you want to come down call for the instructor and then wait for instructions – there will be no fast descents as this can result in damage to equipment or rope burns to climber Form of Consent and Acceptance of Risk Select all 1. If signing on behalf of a child or children under the age of 18 years of age I confirm that I am the parent of such child or children or that I am acting with the authority of a parent of that child or children. 2. I confirm that I have disclosed any relevant medical condition such as diabetes, epilepsy, fits, recurring blackouts, heart or lung disease, mental illness, asthma or chronic back problems which may affect the ability of my child or children to engage in Tree Climbing activity. I confirm that my child or children is or are fit to engage in Tree Climbing and agree that Tree Explorers will not be liable for any injury, disability or illness arising out of my failure to declare a relevant medical condition. 3. I have read and understand the ‘Rules of Tree Explorers’ (see above). 4. I acknowledge that Tree Climbing is a potentially dangerous activity which can be made safe by the use of proper safety procedures and safety equipment. I agree that I/ my child or children will follow the instructions given to them by Tree Explorers and will fully comply with the safety procedures including the appropriate use of safety equipment. . I acknowledge that my child or children must follow the instructions given to them by Tree Explorers and comply with the safety procedures including the appropriate use of safety equipment and I will ensure that I/ my child or children understands the requirement to comply with, and are instructed to comply with, those instructions and procedures. 6. I understand that if I am/ my child is acting in a dangerous manner and not complying with instructions given that a parent will be called to collect the child and no refund will be given for the rest of the session/ sessions already booked. 7. Photographs and video plus any reproductions and adaptations are used by Tree Explorers without limitation to publicise our work. Images could be used in publicity material for Tree Explorers. Potentially this publicity could be in any media format and would potentially be available to a worldwide audience. 8. I agree that Tree Explorers will not be liable for any claims for death, injury or loss of property howsoever caused except where such claim arises out of negligence on the part of Tree Explorers. Please list below any medical conditions/allergies that may affect your child’s ability to climb & ensure they have any medication needed with them when they climb. I have read & understood the Tree Climbing Rules I have read & understood the Tree Explorers Form of Consent & Acceptance of Risk I am/ my child/ children is/are fit to take part in tree climbing. I give my consent for photographs of my child to be used by Tree Explorers. OR I do not give my consent for photographs of my child to be used by Tree Explorers. As parent/guardian I give permission for my child to take part in tree climbing with Tree Explorers.
