Name *

First Name

Last Name

Date *

MM

DD

YYYY

I hereby grant permission of emergency medical treatment or medication to be administered by Mountain Strong Coaching / Play in the Wild qualified first aiders or medical respondents in the event of an accident. *

I agree to the medical consent

During guided runs, workshops, coaching and similar, photographs and videos might be taken and may be used for publicity and promoting Mountain Strong Coaching and Play in the Wild *

I agree to photos and videos be taken.

I understand that trail running and S&C sessions are potential hazardous activities. I should not attend either activity unless medically fit to do so and I can physically run the distance of the event. I understand that with running the weather can make conditions wet, icy and slippy and that there is a danger of weather related injury or even death, I understand that with S&C in a gym the equipment and building come with various risks which could result in an injury. I assume all risks associated with running and S&C include but not limited to trips, falls, falling equipment and contact with other participants, the effects of the weather including, wet, icy, slippy and windy conditions, traffic and considering all facts of you accepting my participation. I waive and release Mountain Strong Coaching/Play in the Wild UK and any volunteers from all claims and liabilities of any kind arising out of my participation, though that liability may arise out of negligence or carelessness of the person named on this form. Conditions of the trails and the gym environment all such risks being known and appreciated by me. *

I agree to the above terms and conditions.