Consents

Confirmation of Booking - plus.....

Advice of Risk - Medical and fitness levels - My consent for this trip

(Please fill in a separate form for each participant) * means a "required field"

Name *
Email Address *
Confirming Booking *
Date/s and River *
Address *
Emergency Contact Person and Phone/s *
RISK STATEMENTS FOLLOW: I understand that water-based and other outdoor activities are adventure activities with a degree of risk and the operator cannot guarantee my safety *
I am physically fit and have disclosed all medical conditions, allergies and disabilities that could affect me while engaged in water-based or land-based outdoor activities *
I accept that Go Fish Kiwi may cancel, postpone or curtail any activities for safety or operational reasons *
I understand I will be given a safety briefing before embarking on an activity and if required, a training session when first commencing the activity *
CONSENTS: I approve the taking of photographs of this trip and the use of them for my memories and for marketing *
Parent / Caregiver consent has been obtained if required *
I understand that I may withdraw my consent at any time and that such action may complete the trip *
I understand that I may not catch a fish *
MEDICAL STATEMENTS: What is your fitness level like? *
Do you have any medical conditions that may affect your participation? *
Do you have any dietary restrictions? *
FINAL CONSENTS: I have been advised of the risks associated with this trip *
I give my consent to participate in the agreed trip and I will follow all the safety instructions of my guide *
Should be Empty:

Anything you would like to ask or tell us?