Your Waiver / Intake Form

Each participant must complete a waiver form prior to their activity. You will need to fill out one form for each participant.

Personal details

Emergency contact details

Allergies, Medications & Medical Needs

Medical Treatment

I understand that should I require emergency medical advice or treatment in the event of an incident, Sara Wright will do everything possible to contact my emergency contact. Should this not be possible;

Marketing

Declaration and Consent

I understand that physical activity involves some inherent risk of injury. I confirm that, to the best of my knowledge, I am fit to participate and that I have disclosed any relevant medical conditions or additional needs.

I understand that Cheekymono will take reasonable care to provide a safe and supervised environment. I consent to staff administering basic first aid and seeking emergency medical treatment if necessary.

Please keep me up to date with any changes that may occur or if there is anything that you would like me to include or exclude. My aim is to make your families time at cheekymono as happy and stress free as possible for all parties involved. Thank you