DarkGreen Adventures (DGA)

Medical Information and Consent Form The elements of excitement and learning offered by outdoors are mainly due to its unpredictability factor. These apparent risks involved are considerably controlled by our staff and support personnel to facilitate a fun filled environment. We provide a safe and controlled environment to the participants by our supervision, inspection and instructions. However, these controlled risks cannot be completely eliminated as we cannot name, control or remove every kind of risk. The participating individuals would have the opportunity to engage in activities on natural and artificial structures and all activities would be challenge by choice. Without being alarmed you must be conscious to the fact that activities do include some inherent risk of injury. If you sign the consent form, it means?  You have informed DGA of all your important medical information or needs.  You understand the type of activities you will experience.  You understand that although we take safety seriously, we cannot remove all risks.  You give your permission in the unlikely event of an accident for us to arrange for medical care.  You understand that you will need to act responsibly and reasonably. Disclaimer: All DGA events take place in the great outdoors. The success of these events depend upon various factors which include climatic conditions, governmental / quasi-governmental policies, mechanical and human error in hired vehicles, etc. and despite checks and double checks, there is always a possibility that the event may not see through as planned. DGA and its representatives do everything in their reasonable capacity to ensure the smooth running of an event and stick to the plan. However, in the situation that an event has to be shortened or cancelled, DGA would stand liable to refund only the balance amount of the total amount paid after deductions of the actual cost incurred up to the moment. DGA and its representatives do not subscribe to or encourage the consumption of any alcoholic and/or narcotic and psychotropic substances during an event. The consumption thereof compromise the safety of the individual and the group. Any participant who does not adhere to this policy during the event would automatically stop being a part of the event and be asked to make private arrangements for themselves thereon, without receiving any refund. Declaration:  I declare that the information given by me is true and complete to the best of my knowledge.  I agree to authorize DGA, during the course/activity to approve such medical treatment as is deemed necessary for me in an emergency and/or in accordance with the recommendations of a qualified medical practitioner.  If my medical condition changes, or if I receive an injury after signing this medical form, I will disclose it to DGA before the start of the event.  I understand that DGA has taken reasonable care and precautions for my safety and I will not hold DGA or its founders, staff or any of its support personnel liable for any eventuality that may occur during the activity or in transit to or from the activity. Name

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Any existing Medical concerns Name, relation and contact no. for emergency purposes I am filling this form for (i) myself ☐ (ii) For my Child/Ward/Dependent ☐ Sign: _____________________________ Date: _________________ Place: _______________________ Event Name: _________________________________________________________________________

DarkGreen Adventures (DGA)