PARENTS DISCLAIMER FORM
Hike / Rider Name : …………………………………………………………….
Hike / Ride Date : ………………………………………………………………
I hereby confirm and declare that I am the parent / legal guardian of ………………………………………………………..
I give permission to my child to participate in the activity conducted by Bike and Hike Granada and authorise the leader supervising the activity to administer emergency treatment to my child.
I understand that the activities conducted by Bike and Hike Granada are inherently dangerous and certain risk is involved in such participation. I hereby absolve Bike and Hike Granada, their employees and third parties employed by them from any liability whatsoever, arising from conducting such activity or travel to and from for participation in such an activity. I declare that my child is covered under liability insurance and personal accident insurance which covers such activities as conducted by Bike and Hike Granada and third parties employed by them. I shall share the particulars of the insurance documents as and when needed.
I further confirm that my child is fit and healthy to participate in such activities conducted by Bike and Hike Granada and third parties employed by them. He / she does not suffer from any medical condition that may hinder his / her participation in the said activities. I swear an oath that I have not hidden or misrepresented any fact about the health of my child.
Special Diet / Allergies / Medication / Chronic or Recurring illness / surgery or a serious illness in the past year / physical conditions that limit activity.
Parent / legal guardian
Name:
Date:
Place:
Relation with Child :
Contact Number :
E Mail :
Signature
