One Day Trek Information Form
Email *
Enter your Full Name *
Date of Birth *
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DD
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Gender *
Blood Group *
Address *
Contact Number *
Emergency Contact Name and Number *

Fitness Declaration (to be signed by parent / guardian in case of minor participants) 

*
Required

Indemnity / Waiver (to be signed by parent / guardian in case of minor participants)

*
  1. I declare that, I am / my ward is participating voluntarily in the outdoor intervention / adventure activity / trek planned by Giripremi Adventure Foundation, knowing all the probable risks and dangers involved in such kind of activities. I understand that the program will be conducted with ample safety precautions and I will not hold the Organization or the Organizers / office bearers / staff responsible for any accident / mishap, which may occur during the program / activity / trek.

  2.  I also understand that in case of any medical emergencies, family consent may be required for the medical treatment. I therefore authorize the organizers of the program to consent to any medical treatment, which a medical practitioner deems necessary.

  3. I understand that Insurance cover is advisable in such activities and I shall obtain the same before activity. In case I am not able to obtain the insurance cover, I will not hold organizers responsible for the same.

  4. I also understand that this indemnity / waiver are valid for all the programs / activities / treks organized by Giripremi Adventure Foundation that I / my ward may participate into.

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