REGISTRATION AND MEDICAL INFORMATION FORM
Way of Nature UK
Private and Confidential

Name:

Date of Birth:

Email:

Mobile phone:

Next of Kin Name/Contact Details:

REGISTRATION AND MEDICAL INFORMATION

If you answered ‘yes’ to any of the above, please provide
accurate details:

Epilepsy yes/no
YesNo
If yes:
a) What specific epilepsy syndrome have you been diagnosed with?.

b) What is the pattern of any seizure?

Do you suffer from any other condition requiring that we should
be aware of including previous injuries, medical treatment and
medication? yes/no
YesNo
If yes, please provide accurate details:

Are you allergic or sensitive to any medication (e.g. Penicillin),
insect bites or food?
yes/no YesNo If yes, please provide accurate
details:

Are you taking any form of medication on a regular basis?
YesNoyes/no If yes, please provide accurate details:

Please ensure that you have adequate supplies of medication for
your entire visit

To the best of your knowledge, have you been in contact with
any contagious or infectious diseases, or suffered any recent
condition that may become infectious or contagious? YesNoyes/no
If yes, please provide accurate details:

Do you have any special dietary requirements?
yes/no If yes, YesNo
please provide accurate details:

Please provide any additional appropriate information concerning
your health:

Terms & Conditions

Your contract for the programme is with Way of Nature UK
(hereinafter referred to as “Way of Nature” or “we” or “us”),
registered in England, company No. 9026164.

To confirm your booking with Way of Nature you are required to
complete, sign and return the ‘Registration and medical form’ to us.
We will then confirm your booking.

By signing this agreement, you agree to the terms laid out in this
document as legally binding. Please sign and return this document
to us.

For each and every individual participant covered by this contract,
you must notify Way of Nature UK of the following information
before the services are provided:
a. the participant’s name;
b. the participant’s email address;
c. the participant’s date of birth;
d. details of any health conditions, medications or allergies;
e. the name and contact details of next of kin;
f. details of any special dietary needs.

This information must be supplied using a Way of Nature UK
”Programme Registration & Medical Declaration form” which must be
signed and dated by each participant. Participants must be eighteen
(18) years of age or over to participate in services provided by this
contract or provide the signatures by their parents or legal guardian

We will endeavour to meet any alterations to your booking that you
request, however these are subject to availability and cannot be
guaranteed. Any requests must be made in writing. If changes you
request result in additional charges, including administration charges
you will be responsible for this extra cost

Should you unfortunately need to cancel you must notify us in
writing. In all cases your deposit will be retained. If you cancel within
2 weeks of the start date you will be liable to pay 100% of the total
booking cost.

We will do our utmost to deliver our services in accordance with what
we have confirmed to you, but reserve the right to make unavoidable
alternations or cancellation to facilities, services or prices after
confirmation if necessary. We will advise you of any alterations as
soon as possible. If it is a major change, which significantly alters the
nature of your experience you will have the choice of accepting the
change, accepting an alternative experience (if the price is lower, we
will refund the difference) or accepting a 50% refund of monies paid.
Way of Nature will not cancel any experience for reason of political
tension or natural disaster unless specifically recommended to do so
by the Foreign Office or unless the circumstances fall within the
scope of Force Majeure – see below. We will not refund any incidental
expenses you may have incurred as a result of cancellation.
Where a major change arises from circumstances amounting to a
force majeure (please see below), we will endeavour to refund all
sums as yet unpaid by us to our suppliers. Your insurance policy,
however, must cover the remainder.

Any information provided by Way of Nature UK on such matters as
climate, weather, environmental conditions, clothing, baggage,
accommodation, food, transport and special equipment is given in
good faith but without responsibility on the part of Way of Nature
UK. It is a fundamental condition of this contract that you accept the
hazards involved when undertaking outdoor activities and you accept
that in visiting remote and mountainous regions and areas whose
access is subject to weather, tides, and sea or terrain conditions,
that there must be an element of flexibility. You must acknowledge
that delays and alterations and their results, such as inconvenience
and discomfort, are possible where unforeseen circumstances arise.

Participants undertaking outdoor activities as part of this agreement
must have a level of fitness commensurate with the servicesspecified, and you are responsible for bringing the appropriate
equipment, details of which will be sent to you in advance. It is your
responsibility to read important information including our Safety
and Risk Management Policies ‘information for participants’ and the
description of the activity, that are necessary to prepare you for
the outdoor experience.

If, in the opinion of the Way of Nature UK guide or staff member,
the health, fitness, psychological condition, behaviour or equipment
of a participant may compromise the safe provision of the outdoor
activities specified as part of this contract, or in the event that
that participant’s behaviour is considered unacceptably disruptive
to the prejudice of other members of the group, we reserve the
right to cancel or terminate your contract. In these circumstances
you will not be entitled neither to a refund nor compensation.

To undertake outdoor activities as part of this agreement it is the
responsibility of each participant to be covered by adequate
insurance for the duration and type of activity undertaken. The
insurance must include cover for cancellation and curtailment,
medical and emergency expenses (including evacuation by
helicopter), personal accident, injury and death. In the event of
emergency medical rescue and/or evacuation during a programme,
by whatever means, the responsibility of such costs will be borne
by the client. It is therefore essential that adequate cover is in
place. Way of Nature UK can provide details of suitable policy
providers. Failure to disclose pre-existing medical conditions may
render policies invalid.

It is necessary to take as much care and attention as possible
regarding wellbeing and safety. Way of Nature UK requires each
attendee to be completely responsible for your health and safety.
When out alone in nature Way of Nature UK cannot accept legal
responsibility for any participant’s health and wellbeing. By signing
and agreeing to this contract you agree to take full responsibility
for your health and wellbeing while on solo.

If a participant suffers from a medical condition that may affect
their, or other people’s, safety or enjoyment of an outdoor activity,
you must advise Way of Nature UK at the time of booking. If a
participant leaves any part of a programme, undertakes
independent activities during the programme, or acts contrary to
the safety advice and instruction given by the programme leader,
we are not responsible or liable for their actions or their safety.
Participants may also be asked to leave the activity if their actions
compromise their own safety, or that of other members of the
group or the programme leader.

Any participant under the influence or recent influence of
alcohol or any form of narcotic substance, legal or otherwise,
may be dismissed from the group at the discretion of the
programme leader. Way of Nature UK take no responsibility for
the safety of a person dismissed from the programme for this
reason, or for relocating them back at the designated ‘Meeting
Point’.

If you have a complaint about the provision of the services
provided by Way of Nature UK, you should make it known to
the Project Manager or a staff member at the earliest
opportunity, thereby giving us the opportunity to put things
right for you immediately. If the matter cannot be resolved to
your satisfaction, please contact Way of Nature UK within 28
days of the end date of your contract and we shall endeavour
to provide a prompt resolution.

Way of Nature UK will accept liability for the negligence of its
employees causing direct physical injury to participants only
to the extent that it is obliged under English law. We cannot
be held responsible for any mishap to participants or a
participant’s property, and in particular for the consequences
of flight cancellations, vehicle accidents, strikes, natural
disasters, sickness, Government, local authority or customs or
police intervention or other such happenings amounting to
force majeure.

Way of Nature UK and its employees are covered by UK public
indemnity insurance for Outdoor Education Services up to a
maximum of £1,000,000 in any one claim. By signing this
agreement you acknowledge that Way of Nature UK has taken
all reasonable steps to safeguard its liability in this respect.
Way of Nature UK shall not be liable for any damages caused
by the total or partial failure to supply these services if such
failure is:
a. attributable to anyone other than the Way of Nature UK
leader(s);
b. unforeseeable or unavoidable and attributed to a third party
unconnected to Way of Nature UK;
c. result of unusual or unforeseeable circumstances,
reasonably beyond the control of Way of Nature UK;
d. a result of an event which Way of Nature UK or any of its
agents, even with all due care, could not foresee.
Where Way of Nature UK are found to be liable for damages in
respect of its failure to supply the contract, the maximum amount
of such damages, compensation and loss of enjoyment will normally
be limited to the contract fee. Where the damage relates to damage
caused by the provision of road, rail, river or sea transport, or hotel
accommodation, any compensation payable will be limited by the
Athens Convention 1974 (sea), the Berne Convention 1961 (rail),
and the Paris Convention 1962 (hotel accommodation). All
transport is undertaken entirely at your own risk. Any independent
arrangements that you make which is not part of the specified
services are entirely at your own risk.

We will provide your personal information, as well as personal
information you provide in relation to others in your party to our
staff and service providers, who might be located outside the UK
and/or EU, to enable the operation of the services required by you.
If you make special requests, which include, but are not limited to,
special dietary, religious, or disability related requirements which
constitute sensitive information, the relevant data will also be
passed to the relevant staff or service provider to enable provision
of the services requested by you. We will apply appropriate security
measures to protect this data.

All information given in our promotional materials are, to Way of
Nature UK's knowledge, correct at the time of publication.
Before you enter into a contract with us, we reserve the right to
make changes to the information provided.

This contract shall be governed by English law and shall be subject
to the non-exclusive jurisdiction of the English courts.

Name:

Sign:

Date:

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