Flat Water Declaration Form

Please read the below carefully

• I understand that activities on/in water may expose me to risk and can cause physical injury
• I accept that the instructor will only be able to assist me if I follow their instructions carefully and that acting outside of their advice may cause me or a third party injuries or difficulties and lead to the activity being stopped
• I have been asked to remove all personal belongings and jewellery before starting my session. I accept that any items not removed may be lost or damaged during the activity
• I am sufficiently fit and able to take part in strenuous activity. I have notified the instructor of any medical conditions or illnesses that I am suffering from and have any relevant treatment close to hand
• I accept that I must be at least 8 years of age to participate in activities and if under 18 years of age my parent/legal guardian consent to my taking part
• I understand that all the equipment and PPE I have been supplied with is fit for purpose and will be checked prior to the start of the activity
• I have been given the opportunity to read and I accept the LVWWC Rules and Regulations, Terms and Conditions and water quality information
• I am not under the influence of any non-prescription drugs or alcohol
• I am aware that I can choose to stop participating in the activity at any time and will make this clear to the instructor

Booking name *

Participant name *

Date of your activity *

Time 00:00 00:15 00:30 00:45 01:00 01:15 01:30 01:45 02:00 02:15 02:30 02:45 03:00 03:15 03:30 03:45 04:00 04:15 04:30 04:45 05:00 05:15 05:30 05:45 06:00 06:15 06:30 06:45 07:00 07:15 07:30 07:45 08:00 08:15 08:30 08:45 09:00 09:15 09:30 09:45 10:00 10:15 10:30 10:45 11:00 11:15 11:30 11:45 12:00 12:15 12:30 12:45 13:00 13:15 13:30 13:45 14:00 14:15 14:30 14:45 15:00 15:15 15:30 15:45 16:00 16:15 16:30 16:45 17:00 17:15 17:30 17:45 18:00 18:15 18:30 18:45 19:00 19:15 19:30 19:45 20:00 20:15 20:30 20:45 21:00 21:15 21:30 21:45 22:00 22:15 22:30 22:45 23:00 23:15 23:30 23:45

ActivityExplore KayakingExplore PaddleboardingWater WipeoutRaft Building

Medical and / or additional information

Declaration: By submitting this declaration form I agree with the above statements and am aware of the risks associated with participating in this activity.