If the above details are correct, please proceed to the next page to provide Medical Details.
All persons taking part in activities must complete the following fields as fully as possible, prior to activity commencement. All information given will be treated with the strictest confidence.
Do you have a medical condition?
Are you receiving any medication or treatment?
Do you suffer from allergies? i.e. stings, bites, penicillin, elastoplasts etc
Are you prone to repetitive sports injuries?
Can you swim?
Do you have any dietary needs? i.e. vegetarian, celiac etc (only applicable if ordered packed lunches)
Are there any areas we have not yet covered that you feel may be relevant?
Please provide your approx. Height & Weight.
If the above details are correct, please proceed to the final page - Disclaimer.
Whilst we are dedicated to the safety of the clients and 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 Black Mountain Activities 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 you are unsure about your health.
Understanding & Acceptance of Risk
Section 21 of the Firearms Act 1968 (Clay Pigeon Shooting only)
Section 21 of the firearms act 1968 states that a person who has been sentenced to imprisonment for a term of three months or more but less than three years or who has been sentenced to be detained for such a term in a detention centre or in a young offenders institution, shall not at any time before the expiration of the period five years from the day after his/her release have a firearm or ammunition in his/her possession. The same applies for anyone who has received a suspended sentence.
Please ensure all details provided within this form are correct and up to date. If you should have any queries, please give us a call on 01497 847897.