RUTLAND WATER TRIP: SIGN UP AND CONSENT FORM
Assalamualaykum w.w

On the 26th of March ULISOC will be going to Rutland Water, for a fun day which includes a BBQ, fun games and activities and more!

If you would like to join us on the Rutland Water Trip, please purchase the Rutland Water Trip Ticket on the SU Website using the link below:

LINK: https://www.leicesterunion.com/opportunities/societies/findasociety/7082/

Once you have purchased your ticket, you must complete the form below.


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Full Name: *
Full University Email Address: (e.g. hn95@student.le.ac.uk) *
Phone Number: *
Emergency Contact Number: *
Do you have any medical conditions/disabilities that we should be aware of? *
Do you have any dietary requirements (allergies)? *
Have you brought the Rutland Water Ticket on the SU website? *
We may need help taking things from Leicester to the location. Do you have a UK driving license and access to a vehicle, and if so are you willing to help us in this regard? *
Consent Statement
By giving consent you are agreeing:
- To take full responsibility of all your belongings and that ULISOC holds no liability for and lost/stolen items
- That all the information you have provided above is accurate and up to date, and that you will provide up to date information should any of the information you have provided changes
- That ULISOC holds no liability for any injuries/accidents
- To follow all the rules and guidelines set by Rutland Water and accept any consequences for failing to do so
- To follow all instructions, rules and guidelines set by ULISOC before and during the trip
- To bring any and all medication you may require during the trip
- To allow ULISOC to disclose your information to relevant parties, in case of an emergency. Your information will not be disclosed to anyone unless absolutely necessary
Do you agree to the consent statement above? *
Jazakallahu Khair
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