Parental E-Consent Form

WOMBOURNE KAYAK CLUB TRIP PARTICIPANT CONSENT STATEMENT

Consent for Club trips, club night and pool sessions.

Participant Declaration

CONSENT

  1. I give my consent for the named participant to join Wombourne Kayak Club and take part in club-lead trips.
  2. I understand that White Water kayaking is an outdoor adventure activity and an assumed risk sport, as such it carries an element of risk, and potential for damage to kit, personal injury and death.
  3. I acknowledge that these risks mean it is vital the participant is able to listen to and follow safety instructions, and I have explained this to the participant.
  4. I confirm that neither the club nor leaders/coaches will be held liable for any accident, damage or death unless it is proven to result from negligence.
  5. I have declared all medical conditions that the named participant has in the Medical Information section of this form.
  6. I declare that the named participant is able to swim and is confident in and around water.
  7. I acknowledge that, under no circumstances, will the participent be able to take part in river activities without the correct and functioning PPE, including suitable bouyancy aid and helmet (inc correct leash system for SUP’s). Clothing suitable for the weather/water conditions must be worn. The suitability of PPE is at the discretion of the leaders responsible on the day.
  8. Boats being used on the river must be fitted with air bags, have functioning grab handles and be in decent working condition. The suitability of the craft for the activity will be at the discretion of the leaders responsible on the day.
  9. I’m aware that the affiliated club insurance only covers 3rd parties and is not a form of personal insurance.
  10. I acknowledge that there may be the need for car shuttling to and from get in/out points. There will always be at least 2 adults present (one of whom will be DBS checked) in the vehicle with the underage participant once in the care of the club. (I.e. at the get in/out or other arranged meeting point).
  11. All data gathered on this consent form will be utilised only for the purposes detailed on this form and will be processed and stored in compliance with the British Canoeing Data Protection Policy and in accordance with all applicable Data Protection laws in effect at the time of publication of this form.

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Thank you for your response. ✨

In completing the below I declare and agree with the above statements and are aware of the risks associated with participating in this activity.

Medical Consent  

It is important that river leaders know whether the participant suffers from any illness or medical condition. Please use the space below to state in confidence any health or other matters concerning the participant of which we should be aware. Please also indicate if the participant is receiving any medication, with details and dosage, and/ or specific dietary requirements. Medication that may be needed on the river in an emergency (e.g. inhaler, epipen) should be handed over to a river leader for the duration of the trip.

Does the participant suffer from:
I consent to the minor in question receiving appropriate first aid, or in a medical emergency medical treatment which, in the opinion of a qualified medical practitioner, may be necessary.