ACE Activity Participation Form

ACE Adventure
Activity Participation Form

Today's Date: November 30, 2021

For health and safety, everyone participating in an ACE Adventure activity must complete this digital participation form in full before undertaking the activity. On arrival, all participants are checked in by a member of staff. Due to COVID-19 we require;

Full address and contact details of every guest
Confirmation there has been no exposure 14 days prior to the arrival date, or do not have themselves, signs and symptoms of COVID-19 including; fever, sore throat, flu-like symptoms, persistent cough or a change in taste or smell
Temperature taken on arrival
Notification to management by any person if any of the symptoms occur during your visit
Maintain a distance of 2 meters where possible and wear a face covering at all other times when inside buildings or vehicles
Keep good personal hygiene and use the wash stations and sanitiser facilities provided

The information is kept private and will not be shared or passed on to any third party. It is used for safety, equipment and insurance purposes. You can find our privacy policy on the Ace Adventures & Hideaways website.

Ace Adventure is committed to provide the highest standard with all our activities. We use fully experienced, trained and qualified guides to provide appropriate instruction.

ACE make every effort to minimise risk and provide a safe, comfortable and enjoyable experience.

It must be stressed that there is an element of risk associated to any outdoor activity including the possibility of death or disablement.

By completing this form, you acknowledge that you understand and are in acceptance of the risks involved and agree to the terms and conditions below which are not limited to but include:

- Declaring; existing & reoccurring injuries. Medical, additional needs and fitness conditions

- It is a requirement to receive a safety brief before all activities. You agree to refuse to participate if you do not receive a safety brief

Activity Terms and Conditions

IN CONSIDERATION OF, and as part of the agreement for the opportunity to participate in the program, the activities, services and food arranged for me (if any) by Ace Adventure Limited, I hereby agree:

I acknowledge I have read, understood and approved the following terms and conditions.
I am aware that all outdoor activities involve inherent risks of illness, injury, death and/or loss or damage of property, which may be caused by negligence, forces of nature and other causes known or unknown. I recognise that such risks are present always, before, during and after the program. I am also aware that medical facilities may not be readily available during the program.
I hereby indemnify and irrevocably and forever release and waive all rights and recourse against Ace Adventure and their respective subsidiaries, licensees, successors, related and affiliated companies and their officers, directors, employees, contractors, licensees, agents, representatives and assigns, from and against any and all claims, demands, payments, proceedings, judgments, settlements, awards, expenses (including without limitation, legal fees and costs) damages, losses, costs, illness, delay or other liabilities (other than a claim for negligence in the case of death or personal injury) which I or my heirs, executors, administrators or personal representatives now have or hereafter can, shall or may have against any of the above-named entities arising in connection with the program, or any breach of the terms of this agreement. I voluntarily accept the legal risk, thereby expressly giving up any right of action and accept the physical risk arising from all liability whether such liability arises in contract, by reason of negligence (other than in the case of liability for death or personal injury), or by reason of breach of duty raised by statute, or in any other manner whatsoever.
That this agreement shall be governed in all respects by and interpreted in accordance with the laws of Scotland.
I consent that images and video footage may be taken before during or after the activity and may be used for marketing purposes by Ace Adventure and its authorised associates.
I confirm that I am over the age of eighteen (18) and have authority to complete this release and that I have read and understood this agreement prior to signing it.

Please select who will be participating...

Adult Minor(s)Adult and Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

Continue

Second Participant's Name

First Name*

Last Name*

Second Participant's Date of Birth*

Second Participant's Information

Medical conditions
Please list any medical conditions (such as diabetes, asthma), additional needs and existing or re-occurring injuries such as dislocations that might affect your ability to participate in the activity.

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Third Participant's Name

First Name*

Last Name*

Third Participant's Date of Birth*

Third Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Fourth Participant's Name

First Name*

Last Name*

Fourth Participant's Date of Birth*

Fourth Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Fifth Participant's Name

First Name*

Last Name*

Fifth Participant's Date of Birth*

Fifth Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Sixth Participant's Name

First Name*

Last Name*

Sixth Participant's Date of Birth*

Sixth Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Seventh Participant's Name

First Name*

Last Name*

Seventh Participant's Date of Birth*

Seventh Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Eighth Participant's Name

First Name*

Last Name*

Eighth Participant's Date of Birth*

Eighth Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Ninth Participant's Name

First Name*

Last Name*

Ninth Participant's Date of Birth*

Ninth Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Tenth Participant's Name

First Name*

Last Name*

Tenth Participant's Date of Birth*

Tenth Participant's Information

Note:Leave blank if not applicable

Medical conditions and additional needs - Leave Blank if None

Reoccurring or Existing Injuries - Leave Blank if None

I have been exposed to or had COVID symptoms of; sore throat, fever, persistent cough, flu-like symptoms or a change to taste and smell in the last 14 days*

Yes

I am supposed to be in isolation, quarantine or shielding*

Yes

I will adhere to the 2-meter rule and to wear a face-covering if it is likely to become closer than 2 meters with another person not from my household or when indoors*

Yes

I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*

Yes

Address

Address Line 1:*

Street address, P.O. box, company name, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:*

City:*

State/Province:*

Zip/Postal:*

Parent or Guardian's Email Address

Email*

Give me access to photos of the trip & complimentary ACE Membership including monthly prize draw worth £680.00

A signed copy of this waiver will be sent to the email address you provide.

Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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