Candidate Course Booking Form

Candidate course booking form

Please take a moment to fill out the form.

Course Date

Course Venue

Contact Name

Contact Email

Address

Phone Number

Date of birth required

Invoice address if different

Prior experience & additional information. For ERCA Courses you must meet the prerequisites listed in the terms & conditions

Emergency Contact & Medical details

Emergency contact name

Relationship to you

Phone Number

Please state any medical conditions, allergies, or dietary requirements that you / your group have, any medications you / they use and anything else you feel the course staff should know:

Medical Declaration

I declare that the information provided above is an up-to-date summary of relevant medical conditions and allergies that I / my group have. If any medical issues arise before the course, I will inform Ropes Course Inspection & Training Ltd as soon as possible. I also declare that I know nothing relating to my / my groups health or fitness which might prohibit me / them from taking part in the course or might jeopardise my / them or other people.

Declaration for the acceptance of risk

Please tick to confirm you have read, understood, and agree to the conditions of participation statement.

British Mountaineering Council (BMC) Participation Statement “The BMC recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions”.

Photo consent

I give permission for the Ropes Course Inspection & Training to use my photograph and other media such as film and quotations, on any Ropes Course Inspection & Training promotional material and publications, for which it may be suitable.

Sharing of data

Please tick to confirm you agree to us sharing your data with the European Ropes Course Association (ERCA). This is only applicable to ERCA Courses and is necessary to process your certificate.

Signature

Print Name

Select a date required

I agree to the terms & conditionsView terms & conditions

Thanks for submitting!