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Motorhome Passenger Agreement

Today's Date: October 27, 2021

For health and safety, everyone travelling must complete this digital form in full before undertaking the journey. On arrival, all travellers are checked in by a member of staff. Due to COVID-19 we require;

  • Full address and contact details of every driver and passenger
  • 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 hire
  • Maintain a distance of 2 meters where possible and wear a face covering at all other times when inside buildings 
  • 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 and insurance purposes.  You can find our privacy policy on the ACE Adventures & Hideaways website.

First Passenger Name

First Name*

Last Name*

Phone*
First Passenger Date of Birth*
First Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
First Passenger Signature*
Second Passenger Name

First Name*

Last Name*
Second Passenger Date of Birth*
Second Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Third Passenger Name

First Name*

Last Name*
Third Passenger Date of Birth*
Third Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Fourth Passenger Name

First Name*

Last Name*
Fourth Passenger Date of Birth*
Fourth Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Fifth Passenger Name

First Name*

Last Name*
Fifth Passenger Date of Birth*
Fifth Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Sixth Passenger Name

First Name*

Last Name*
Sixth Passenger Date of Birth*
Sixth Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Seventh Passenger Name

First Name*

Last Name*
Seventh Passenger Date of Birth*
Seventh Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Eighth Passenger Name

First Name*

Last Name*
Eighth Passenger Date of Birth*
Eighth Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Ninth Passenger Name

First Name*

Last Name*
Ninth Passenger Date of Birth*
Ninth Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Tenth Passenger Name

First Name*

Last Name*
Tenth Passenger Date of Birth*
Tenth Passenger Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
Passenger 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*
NOTE: Give me complimentary ACE Membership. Including 10% off Accommodation and Activities at ACE & monthly prize draw worth £680.00. No more than 1 email per month - opt out anytime
A signed copy of this waiver will be sent to the email address you provide.
Where do you live?
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
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
No
I am supposed to be in isolation, quarantine or shielding*
Yes
No
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 of a public space*
Yes
No
I will maintain good personal hygiene and to make use of the soap, wash stations and hand sanitiser provided*
Yes
No
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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