Adventure Activity Waiver & Intake
Acknowledgement of risk, medical flags, emergency contact, and signature.
7 questions · 1 page · about 4 minutes to answer · fully editable after you start
Adventure operators need every participant checked in with the same rigor: risks acknowledged specifically, medical conditions flagged, an emergency contact on file, and a signature with the date. This form standardises that intake for climbing, rafting, trekking, and every activity where the waiver is not a formality.
Each acknowledgement is confirmed separately rather than in one blanket checkbox – the structure that makes the record meaningful. Responses store the drawn signature and timestamp with the participant's answers.
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Page 1
Before your activity
This form asks for your details, your emergency contact and your health information, and records that you understand the risks of the activity. Please read each statement carefully before you agree. It takes about 4 minutes.
Q1.Full name and date of birth*
Q2.Emergency contact*
Q3.Please confirm each statement.*
| I confirm | I need clarification | |
|---|---|---|
| I understand this activity carries inherent risks | ||
| The safety briefing requirements were explained | ||
| I will follow guide instructions at all times | ||
| I am participating voluntarily |
Q4.Medical conditions, allergies, or medications guides must know (write None if none)*
Q5.Can you swim 50 meters unassisted? (Water activities)
- Yes
- No
- Not applicable
Q6.Activity date*
Q7.Participant signature*
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