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Destination :  
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Full Name :
Date of Birth : Age : Gender :
Blood Group : Address :   City :  
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Parent's Mobile : Participants's Mobile : Mobile Number to recieve SMS :
Mobile Number Whatsapp Update : Email Address :     School / College Name :
STD. / YR. : Photo ID :
Mode for Travel : Food Preference :

Remarks: It is very important for the participants to go through the programme circular. If the participant is under any medication or has any allergies(eg: food, dust or drug) ; please provide such details to us. Any specific characteristics like night walking, phobias(eg: height or water) etc. should be mentioned in the space below. This will help us take care of the participant during the camp.

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Declaration

I would like to enroll myself / my ward to participate in the nature / adventure camp organized by you. I am aware of the risks inherent in the camp involving adventure sports / activities during the programme as well as travelling organized and conducted by OUTDOORS UNLIMITED, and their agents.  am aware of the risks inherent in tours involving adventure sports / activities such as trekking, rock climbing, rappelling, Tyrolean traverse, vertical ladder, camping, white water rafting, bridge slithering, kayaking, wildlife safaris and any other activities that are organized and conducted by OUTDOORS UNLIMITED and their agents.

I hereby state that I / my ward is participating in these adventure sports / activities of my own free will and consent, and understand and agree that OUTDOORS UNLIMITED, and their agents take all necessary precautions to minimize the risk and avoid any accidents and ensure safe participation in these adventure sports / activities and are not responsible for any mishaps that may occur while participating.

I have read the above statement and the terms and fully understand its contents. I realize and agree that the same serves as an agreement of release and assumption of risk on myself.

I declare that the terms and conditions mentioned overleaf have been explained & interpreted to me in my vernacular language and agree to abide by them. I realize and agree that the same serves as an agreement of release and assumption of risk on myself.

 
I have read the Terms and Conditions mentioned herein and agree to abide with them.