Summer Adventure Camp @ Mussoorie
Program date : 27th May-2nd June , 2024
Location : Himalayan Adventure Insitiute , Kempty- Mussoorie , Uttarakhand 
Contact us at +917055800041/42 or ajay@natureconnect.in 
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Email *
Full Name *
Father/Mother/ Gaurdian name : *
Date of Birth *
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Height ( in cms) & Weight ( in kg) *
Contact no. *
T-shirt size 
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Address *
Blood Group *
School name & class *
Anti tetanus (date last administered ) *
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Any medical condition or relevant Nature Connect should have ? *
Any allergies to specific substance /food/medicines?   *
Dietary restrictions *
Any asthma or respiratory related issue? *
Any history of bed –wetting / sleepwalking?   *
Hospitalisation in the past year? *
If under any medication, please provide details and send the medicines with a dosage note. *
If the participant uses prescription glasses, please send an extra pair. Avoid contact lenses. *
PARTICIPANT CODE OF CONDUCT -Parents must share these below points with participants and make them understand and commit to this code of conduct. Since some of the issues are more relevant to older children, participants 12 years and above must demonstrate their understanding and agreement by signing this section. *
Required
1) I understand that this is not a luxury camping trip or holiday trip. I commit to follow the safety & discipline norms, and the plans shared by the Instructors and the Campus Chief on the program. 
 *
Required
2) I will respect other participants and will not bully or misbehave with them. I will maintain decorum and be polite in my language and interactions with others. *
Required
3) I will not carry a mobile phone or music player/gaming device. 
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Required
4) I know that there are restricted spaces (tents, toilets or others) for boys and girls and I will respect those 
boundaries. *
Required
5) I understand that I may not always be in the same activity or accommodation groups of my choice as 
these may require logistical, safety or learning considerations. 
 *
Required
6) I will respect camp equipment ,property and my instructors *
Required
7) I understand that on trekking / expedition-based programs I will have to share all chores and responsibilities as agreed by the group. I understand that it is critical to be one for all and all for one to make these programs 
safe and successful. 
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Required
8) I will not carry or consume cigarettes, alcohol or other illegal substances on the program. Consumption of abusive substances like cigarette, alcohol or drugs is prohibited on campus. Any kind of indulgence in the same will result in immediate expulsion of the participant from the campsite. *
Required
9) I will not carry any food items/ tuck, unless the participant has food related allergies. *
Required
10) I will take care of my belongings & Nature Connect team staff shall not be held responsible for any loss. *
Required
11). I will respect for Nature Connect’s property is of prime importance. Damaging furniture, writing on walls, tearing tents, etc. will be dealt with strictly. Parents are expected *
Required
PARENT CONSENT-I want to enroll my child for the Nature Connect Summer Adventure Program.I have read the Nature Connect program and the Director’s letter in this form, and I understand the same. The details provided in the registration form and the medical sections are true and correct. *
Required
1.) I understand the program details and the inherent risks of adventure programs .While Nature Connect has trained and experienced staff and does its best, I understand and acknowledge the risks associated with outdoor-based adventure programs and the related logistics of travel and stay. These are same as risks present in any private or family trip in the same setting or with similar activities. I release Nature Connect Outdoors Pvt. Ltd., its employees, agents, instructors, doctors, contractors and directors of any liability from claims arising due to my child’s participation in the program and the related travel and activities conducted therein. *
Required
2.)My child is fit to participate in the chosen adventure program -I understand the program design and my child is medically fit to participate in this program. I have provided all relevant medical details in this form. My child does not suffer from any known condition - specifically heart related, blood pressure related, acute asthma, epilepsy, or serious allergies and reactions - that could get aggravated due to the experience or would render the program unsafe for him/her or others. My consent here also includes permission to Nature Connect Outdoors Pvt. Ltd and the doctor or hospital chosen by them to provide medication or hospitalization in case of need. *
Required
3). I understand the communication protocol during the course of the program -I understand that I will not be able to communicate directly with my child during the program. Nature Connect will attempt to provide updates through their office. I understand that this is not a commitment, and is dependent on telephone and Internet connectivity at the campuses. I also understand that the update pictures will be representative and generic and may not cover my child specifically. *
Required
4.) I understand the code of conduct that needs to be followed on the program -I am aware that participants need to abide by the rules and any misconduct like repeated indiscipline, bullying other participants, gender sensitivity issues, breach of safety rules, or carrying/usage of tobacco, alcohol or other substances will result in my child being sent back from the program at my cost. *
Required
5.) I permit Nature Connect to use photographs and videos featuring my child/ward -Nature Connect 
is free to use images and videos of the program featuring my child/ward for their brochures, website and promotional material.
*
Required
6.). I permit Nature Connect update my child’s photos on their Social media & Facebook page.I understand the update process of Nature Connect. Nature Connect can upload my child’s photos on its Facebook page during and after the camp. *
Required
My consent below indicates that I agree to the points listed above in this consent letter. I have read, understood, filled and then signed this form. I am aware of the payment & cancellation policy and agree with the same. Any claim or any controversy involving this agreement shall be conducted in Dehradun. *
Required
I permit Nature Connect to send me messages /alerts/promotions/email & I have voluntarily provided Nature Connect the phone numbers & emails above on which they can contact us and send messages for updates/alerts/promotions etc. *
Required
I understand that I will have to pay the full program fees (Rs.21,999/-) in advance to confirm seat *
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