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Adventure Activity Registration Form
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*
" indicates required fields
First Name
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Last Name
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*
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*
My participation in the activity(s) selected is voluntary. I understand that the selected activities may involve accidental injury and hereby voluntarily assume such risks. Knowing these risks, I want to participate in this activity(s). I hereby assume the risk, and hereby waive, release, discharge Lough Allen Adventure, its officers, employees, activity instructors and assistants, and all officers and employees where said activity(s) will take place, for any and all claims for damages for personal injuries, or claims for damages to property, which me or my heirs, assigns, executors or administrators may have or which may accrue to my participation in this activity. I have read the above and understand that important legal rights are being waived
Consent
*
I consent to Lough Allen Adventure the use of any photographs/video recording that are taken of me while participating in the activity(s) for use in Lough Allen Adventure brochures and program materials that are distributed both as printed document and on the internet. No payment will be made for use of these photographs and/or videos. Your name would never be used in connection with these images.
Do you have any allergies or medical conditions?
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Please indicate your level of water confidence and swim ability level below
*
Any additional information can be entered below
Signature
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31st MAY - 3rd JUNE 2024