Medical

Your Full Name (required)

Your Phone Number (required)

Your Email (required)

Your Date of Birth (required)

How did you discover Tribe Watersports (Google, Friend, etc)

Notes: whilst Participating you will be taking part in “Adventurous Activities” which involve some personal risk. It is a legal requirement that before starting any activity you fully complete the following medical declaration. The information will help us to keep you safe and structure an effective training program for you. NB failure to declare full information will result in the termination of your course without refund

Physical Condition

Your Height in CM (Required)

Your Weight in KG (Required)

What is your level of fitness (Required)
Very FitFitUnfitVery Unfit

Can you swim 50m (Required)
YesNo

Would you consider yourself water confident (Required)
YesNo

Do you smoke? (Required)
SmokerNon-Smoker

How is your eyesight (Required)
GoodFairBad

Are you currently taking any medication? (Required)
YesNo

If yes please can you detail your medications

Do you suffer from and medical conditions or injuries that we need to be aware of whilst undertaking this activity such as Asthma, Diabetes, joint surgery etc: (Required)
YesNo

If yes please can you detail your conditions or injuries

Emergency Contact

Emergency Contact Name (required)

Emergency Contact Phone Number (required)

Emergency Contact Email (required)

Emergency Contact Relation (required)

Declaration
I declare that the information given above is accurate and true, and that I have not knowingly withheld any information. I understand that water sports are “Adventurous Activities” which involve some personal risk. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. I hereby authorise Tribe Watersports Ltd to publish photographs and videos that may feature me during activities.

Please digitally sign here with your full name to accept these terms and that all the details you provide are honest and true