Lee valley test

Event Lee valley test

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Booking for: Lee valley test
Date 11/22/33 to 22/33/44
Contact person: Michael
Cost: (activity dependent)

Additional details of the event will have been sent out by email, please contact us if you would like to receive them. Please fill in the form below to book onto the event:

Event options

I would like to do...

White Water Rafting (cost £15) Wipeout (cost £5)

Note: If choosing both the total will be £20

Do you have additional needs which might be relevant to the activities (if so we will contact you separately)

Note: There is a weight limit of 18 stone per participant

The Lee Valley centre will require each participant / parent or carer to sign the declaration / waiver form before the event (details on how to fill out this form sent via email).

I have filled out and submitted the Lee valley moving water declaration form

This event requires

Participant information

Full name (& name known by if applicable) Home address Date of birth (dd/mm/yyyy) Phone No. Email Local meeting additional info icon

Dietary information (this will be a vegetarian event)

Any Allergies?, Vegan? etc

Medical information

Able to take Ibuprofen Paracetamol Additional medical information additional info icon

Parent/Guardian contact information

Preferred email contact

Primary contact:

1. Name 1. Phone no.

Secondary contact:

2. Name 2. Phone no.

Data consent

Can we use contact details to tell you about future events? Can the participant be included in photographs taken that may be used for future publicity?

Consent

I consider my child / ward to be medically & psychologically fit to participate in this London link group event and I give permission for them to take part in this activity. The participant agrees to adhere to the London Link group boundaries.

I confirm

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London Link Group

Young Quaker London Link Group