High Ropes Adventure
COURSE ADDRESS
Legsby Road,
Market Rasen,
Lincs. LN8 3DZ
(You will find us at the
end of the Golf
Course)
Phone/Fax 01673 842724
office@highropesadventure.com
www.highropesadventure.com
INDIVIDUAL BOOKING FORM
Please fill in & bring with you on the day.
Please note; our harnesses have a maximum hip/waist size of 45" / 1.15m.
Full Name
Age (if under 18)
Address
Post Code
Phone
Mobile
Email (fill in only if you want to receive
occasional emails & news from HRA)
EMERGENCY CONTACT
NAME & PHONE NUMBER
(during course)
Date of course
Time of Course
Cost of course
Name of group I am
attending with
Any other information you
would like to give us.
£
All course fees must be paid for in full prior to the course.
Please ensure you arrive on time. On the day cancellations will be charged at full price.
P.T.O.
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Terms, Consent and Acceptance of Risk
Whilst every attempt is made to ensure that all courses actually run, High Ropes Adventure reserves
the right to cancel in the event of thunderstorms, high winds, extreme weather conditions, or in the
interest of safety. In any of these events, as much notice as possible will be given and clients will be
offered the following options:- a full refund of course fees, or another course on a different date. We
regret that our liability does not extend beyond this.
I understand that even under the safest conditions a ropes course has a number of inherent risks and
hazards that are beyond the control of High Ropes Adventure and its staff. I agree to personally assume
this risk. I understand that every care and attention will be given to the health and safety of the
participants, but that High Ropes Adventure and its staff cannot be held liable for any injuries or illness
sustained which were not directly caused by there failure to take due care.
I also understand that ropes course activities may be physically, mentally and/or emotionally demanding. I
understand that I should be free of any mental, medical and/or physical conditions that may create undue
risk to myself or others who may depend on me. If in doubt I will seek medical advice prior to my
participation in the ropes course session. In the unlikely event of a serious accident occurring to me I
have no objection to first aid being given to me by a qualified first aider.
HIGH ROPES ADVENTURE is insured for Public Liability to the value of £5 million. The clients personal
belongings are NOT insured, the client is responsible for all their own property.
We advise you to wear clothing that you won't mind getting dirty or even slightly damaged. Dress for the
weather. No sandals or slip-off shoes or Wellington boots; trainers or walking boots are best. Long hair
must be tied back. Waists should be covered and all piercings removed or tapped over. All jewelry, rings,
watches, objects in pockets and anything sharp should be removed prior to the session. In addition to
objects in the pocket or anything that might become detached from a person or clothing should be
removed
Our harnesses have a maximum hip/waist size of 45" / 1.15m. For safety reasons we are unable to
provide larger harnesses.
Confidential medical information
Please let us know if you have ever had or do currently have any of the following:History of heart attacks?
History of high blood pressure?
Asthma or severe attacks of hay fever?
Back problems?
Any type of hernia?
Any type of allergy?
Is your TETANUS injection up to date?........... If not, see your doctor for advise.
Are there any other medical conditions that you think may affect your participation on a ropes course? If
in doubt please consult your doctor.
I do/do not give High Ropes Adventure & others who act on their behalf, the right & permission to take
photographs of me, to use, re-use and / or publish photographic material of me while participating on the
ropes course, archery or camp site.
I agree to comply by the safety rules and regulations set by the ropes course staff, as well as the terms,
consent and acceptance of risk, I also agree to inform course staff of any situation that may be a danger
to me or my co-participants. I also agree that my participation in the ropes course is voluntary. I have
carefully read this consent form and understand its content and sign it of my own free will.
Signature of participant (if 18+)
Or Parent /
guardian…………………………………………………………………………………...………………Date……………………………...
For additional information please view our website
www.highropesadventure.com
We look forward to welcoming you to High Ropes Adventure. I would be delighted to receive your
feedback and thoughts on how we might improve our service. Thank you for your booking.
We do at times have problems with MOSQUITOES, please bring with you, insect repellent,
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antihistamine cream &/or antihistamine tablets. Or see your doctor for advice.
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