Activities
- - - Abseiling
    - Gorge Scrambling
    - Raft Building
  - - Bushcraft
    - Mobile Climbing Wall
    - Rock Climbing
  - - Canoeing
    - Onsite Activities
    - Rock Scrambling
  - - Caving
    - Orienteering & Hiking
    - Team Building
Mixed Adventure Days
- - - Burbage Adventure Day
    - Grindleford Adventure Day
  - - Black Rocks Adventure Day
    - Stoney Middleton Adventure Day
  - - Cheedale Adventure Day
  - - Cromford Adventure Day
Groups
- - - Badged Youth & Sports Teams
    - Schools & Youth Organisations
    - The King’s Trust Programmes
  - - Corporate Events & Team Challenge Days
    - Scouts & Cadets
  - - Faith Groups
    - SEND & Inclusion
  - - Friends & Families
    - Stag & Hen Events
Services
- - - Education Services
    - Training & Technical Advice
  - - Qualifications & Awards
  - - Sponsored Abseils
  - - Strategic Partnerships
Information
Courses & Booking
Contact Us

Consent Form

Information contained in this document will be treated as confidential. This form must be completed by any participant over the age of 18, or the parent/care giver of any person under the age of 18, before they may participate in any activities organised by Acclimbatize.

& Contact Name

Participant's Full Name

Email

Address

Date of Birth

Age

Personal Details Consent

I agree to the above named participating in adventurous activities. I understand that although potentially hazardous, an instructor who holds the relevant awards or qualifications will lead these activities and will maintain a high level of safety throughout the activities. I acknowledge the need for responsible behaviour and that the instructors word is final on all matters of safety.

Medical Consent

To be completed by all participants - I have written below full details of any recent illness or medical condition of which the instructor should be aware, including details of any medication or special dietary requirements:

Medical Declaration

Medical Emergency

I agree to the participant named above receiving emergency medical treatment including anaesthetic considered necessary by medical authorities present.

Doctor's Details

Doctor's Telephone Number

Emergency Contact Name

Emergency Contact Telephone Number

Emergency Contact Address (if different from above)

Insurance Consent

I understand that Acclimbatize is covered in the event of accidents caused by their negligence but Acclimbatize do not provide personal insurance for participants or their personal property.

Print Full Name

Privacy Policy & GDPR Consent

Under the General Data Protection Regulations (2018) valid consent must be given by the client to enable Acclimbatize to process your data. Acclimbatize will not share your data and will only use it in a lawful way within the scope of its intended supply. Please tick to acknowledge you have read our Privacy Policy and give consent to your data being processed accordingly

Terms & Conditions

By ticking this box you are confirming you have read and agree to our Terms & Conditions

Photography Consent

Please tick if you consent for your photograph to be shared on social media platforms

Accreditations

The association logos throughout the pages of this website represent membership of the highest professional bodies at both national and international levels. Click on any of the logos below to view our safety and quality information.