TOUR DISCLAIMER

We prioritise the safety and well-being of our participants during wilderness experiences. As part of our commitment to providing exceptional care and support, we kindly request your read and complete the information on our tour disclaimer. We understand that privacy and data protection are of utmost importance to you, and we want to assure you that we treat your information with the highest level of confidentiality and security.

Thank you for joining us on your RVIVAL experience. To ensure your safety and provide the best possible preparation, please complete this form accurately. All personal information will be handled in accordance with our privacy policy and used solely for safety and logistical purposes.

Participant Information

Please select the RVIVAL Experience you are joining:

First name

Last name

Birthday

Day

Month

Year

Email

Phone

enter country code first (e.g +1 , +44, +36 etc)

Emergency Contact

Emergency Contact Number

Relationship to Emergency Contact:

Dietary & Medical Details

If completing for yourself and a minor please also specify any relevant information in relation to the minor within the below answers.

Please outline any dietary requirements

Do you have any allergies (e.g Food, Penicillin, Pollen, Insects, Nuts, Grass):

Do you have any medical conditions? (E.G. Asthma, Epilepsy, High Blood Pressure, Diabetes, Angina):

Are you currently taking any medications? If yes, please list them:

Have you had any previous hospital admissions that may be relevant to this experience?

Do you have any recurring joint or back problems? (e.g., previous injuries, chronic pain):

How would you describe your current fitness level? (Include regular activities you do to stay active.):

Name and address of your registered GP:

Activity-Specific Information

Can you swim confidently in open water?

YES

NO

How tall are you in CM?

What is your shoe size? (EU sizes)

(This information helps us prepare fins if your experience includes freediving.)

Acknowledgments & Consent

Please read carefully and confirm the following statements:

Risk Acknowledgment

I acknowledge the potential risks and dangers associated with the activities outlined in my itinerary.

I confirm that I have had the opportunity to discuss any questions regarding the risks and safety of the activities I am participating in with the RVIVAL team.

Medical Fitness Confirmation

I confirm that I am physically and medically fit to participate in this experience and will bring any required medications (e.g., inhalers, EpiPens) with me.

I understand that it is my responsibility to notify RVIVAL of any changes to my medical condition prior to participation.

Liability Waiver

I hereby waive and release any and all claims, actions, or liabilities against RVIVAL Ltd., its directors, officers, employees, agents, volunteers, contractors, and associated parties (collectively, the "Released Parties") for any injuries, damages, or losses I may sustain while participating in the activities, except in cases of gross negligence or willful misconduct.

I understand and accept full responsibility for my actions and decisions during the experience.

Media Consent (optional)

I understand and accept full responsibility for my actions and decisions during the experience.

I agree

I do not agree

Under-18 Participants (Parent/Guardian Consent) (If applicable)

I, as the parent/guardian of the participant, grant permission for my child to participate in the activities outlined in the RVIVAL experience.

I confirm that I have disclosed any relevant medical conditions and reviewed the risks and safety measures associated with this experience.

Insurance Recommendation

I understand that RVIVAL recommends participants obtain personal travel or activity insurance to cover any unforeseen incidents.

Cancellation Policy

For cancellations, please refer to RVIVAL's terms and conditions regarding refunds and rescheduling. Contact us at the email or phone number provided for further assistance.

Acknowledgment and Signature

By signing and submitting this form, I confirm that:

All information provided is accurate and complete.
I have read, understood, and agree to the safety measures, risks, and terms outlined in my itinerary and this form.
I voluntarily choose to participate in this RVIVAL experience.

Signature

Signature field is empty.

+44 (0)7377 386 811

info@rvival.co.uk