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Thanks for choosing Basecamp Adventures please take the time to read and complete the following & feel free to ask staff if you are unsure of anything

ENJOY YOUR TIME WITH US :) 

 

Basecamp Adventures

Risk Acknowledgement and Waiver   

I accept that the activities offered by or through BCWanaka Ltd (trading as: Basecamp Adventures, Climbing Queenstown (and any other trading name used in the past or future) - hereafter Basecamp Adventures, inherently involve risks; such as falling from height, slipping or tripping, Items falling, exposure to weather, exposure to cold, inhospitable terrain and vehicle accidents. Also potential hazards; such as weather conditions, Avalanche, vehicle travel, conduct of others, rocks, cliffs, slippery terrain, uneven ground and equipment failure. This may result in injury or death. The staff and management of Basecamp Adventures take all steps reasonably practicable to identify and mitigate these. I understand that these steps may involve me (and any person I am accompanying under the age of 18) and that I/we must and will, follow Basecamp Adventures instructions and recommendations at all times, including the use of any equipment; supplied by Basecamp Adventures and my own. I also understand that the final decision about whether to partake in these activities is mine however I accept that Basecamp Adventures staff have the right to withdraw any person from any activity who in their opinion is likely to endanger themselves or others. I also accept that BCWanaka Ltd reserves the right to cancel any activity for any reason if it becomes concerned for my safety or the safety of any other person.

I Agree

I understand that under New Zealand law it is extremely unlikely that I will be able to sue anyone if I am injured. In addition, New Zealand's accident compensation scheme it is strongly recommend that all visitors to New Zealand have full insurance covering any injury they might suffer, including medical treatment cover, before undertaking this activity.

I Agree

I certify that I am physically fit and able to participate in Basecamp Adventures activities and I have not been advised otherwise by a qualified medical person. I have recorded any medical condition, existing or previous injury and medication that may affect my ability to safely participate. I also accept a high 5 from staff for actually reading this.

I Agree

I consent to receive any medical treatment that may be deemed necessary in the event of injury, accident or illness while undertaking Basecamp Adventures activities.

I Agree

I hereby consent to Basecamp Adventures making, taking, collecting, retaining and using photographic images, audio or video recordings of me and/or any minors I am responsible for (if applicable) undertaking the activities (hereafter the Images) and making available, publishing and/or selling the Images for the purpose of education, research, training, marketing, promotion and/or advertising. The Images may be cropped, altered, transformed or reproduced in any way, in any current or future media (including, but not limited to, print, television, cinema, internet, Youtube, signage, and offline or online social media) and I waive any right to inspect the final form of the Images. I understand that I will not receive payment or any other compensation in connection with these Images and Basecamp Adventures use or sale of the Images and that I waive my rights of any kind that I have or may have in the Images. I agree to release Basecamp Adventures from any and all liability that may or could arise from the creation, taking, use or publication of the Images. Basecamp Adventures agrees to handle the Images in accordance with the Privacy Act 1993 and the terms of this waiver.

I Agree

To the extent permitted by law I hereby release, waive, discharge and hold blameless Basecamp Adventures, its staff, directors and all persons entities and contractors connected, from any and all liability for death, disability, personal injury (including mental injury), damage or theft of belongings, disruption to travel plans and all other foreseeable risks, claims or actions of any kind including negligence, whatever and however occurring which may arise, at any time, from or in connection with, directly or indirectly, as a consequence of me carrying out the activities of Basecamp Adventures. I note that this exclusion is subject to any rights or remedies I may have under the Consumer Guarantees Act 1993, or any other New Zealand law. I hereby indemnify and hold harmless Basecamp Adventures, Basecamp Adventures directors and staff, and all other persons, entities and contractors connected to Basecamp Adventures, from any and all liability, claims or actions including negligence whatsoever and howsoever caused, which may arise at any time as a result of or In connection with my participation in any Basecamp Adventures activities which are brought by any third party in respect of any loss or injuries suffered by that third party due to my participation in any Basecamp Adventures activity. I understand I may be charged for items belonging to Basecamp Adventures that I lose or damage. I understand I may be charged for items belonging to Basecamp Adventures that I lose or damage.

I Agree

I agree that this form is contractually binding on myself, my successors, my executors, administrators, heirs, next of kin and assigns and that should I or any of my successors, executors, administrators, heirs, next of kin or assigns assert a claim in contravention of this waiver the asserting party shall be liable for all the expenses (including legal fees on a solicitor client basis) incurred by the other party or parties in defending the claim.

I Agree

Today's Date: July 4, 2025

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Participant's 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*
Confirm Email*
I'm ok with receiving the odd email.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information
How would you describe your fitness
Unfit
A little unfit
Average
Fit
Extremely fit
What is your prior experience in this activity
None
A little
Lots
if you wish to elaborate on your fitness or experience please do so here
Do you have any prior or present medical conditions and/or major Injuries that we need to know about?*
No
Yes
If yes, please provide more details.
Do you take any medication*
No
Yes
If 'Yes' please describe
Parent or Guardian's Signature*
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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