Moors to Mountains

Returning Clients Consent Form

Thank you for booking onto another Moors to Mountains activity.

As it is legally required to keep participant details securely on record, there is no need for returning participants to fill out the full consent form for a recurring activity. All details are recorded and stored in confidence for safety reasons. Please see the Moors to Mountains Privacy and Data Storage Policy for further details.

However, for insurance and safety purposes, participants should understand, acknowledge and give consent to information specific to each individual activity. Please remember that it is YOUR RESPONSIBILITY to notify me if any of your medical or health information has changed, and re-submit the full Participation Consent Form.

Please carefully read and complete the following short form, which should then be submitted by each participant no later than 7 days before the activity in question.

If you have any questions or concerns, you may contact Moors to Mountains via telephone between 10:00 and 20:00 Monday to Friday on 07535489950, by text or Whatsapp any time, or email any time via moorstomountains@gmail.com.

Please refer to the Moors to Mountains Terms & Conditions.

Date of Booked Activity

Participant Information, Emergency Contact Information and Medical Details

Participant Full Name

Please provide your forename and surname

I can confirm that all my previously supplied personal contact information, emergency contact information and medical details have not changed since submitting the most recent Moors to Mountains Participation Consent Form, and agree to notify Colin Liptrot if there are changes before the date of the booked activity. This includes details of personal medication, weight loss drugs any physical or mental health conditions and whether I may be fasting on the date of the activity.

Participant Consent Declaration.

PLEASE CLICK HERE TO READ THE

MOORS TO MOUNTAINS PARTICIPANT CONSENT DECLARATION

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I have read and understand all of the information listed under "Moors to Mountains Participant Consent Declaration" as specific to the selected activity. This includes reading and understanding the supplied risk assessment. By ticking this box, I agree with and consent to each stipulation.

Digital Images and Media Consent Declaration.

During activities, the walk leader will take photographs or video clips of participants and scenery, to be used for publicity and marketing purposes to promote Moors to Mountains via both printed formats and online, including social media platforms.

Your personal choice to be included in such media is wholly respected.

Do you consent to being included in image or video capture?

Yes, I give my full consent.

No, please do not include me.

In the event that any participant does not wish to be included in photography or video capture, the walk leader will show discretion and advise the group before any activity to be respectful and only take pictures of themselves and any personal friends. BUT the walk leader cannot be directly responsible for the actions of other participants where taking photos is concerned.

Yes, I agree and understand.

Footwear, Clothing and Equipment Requirements

PLEASE CLICK HERE TO READ THE

MOORS TO MOUNTAINS FOOTWEAR, CLOTHING and EQUIPMENT REQUIREMENTS

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By ticking this box, I confirm that I have read and understand all of the information listed under "Moors to Mountains Footwear, Clothing and Equipment Requirements", and hereby agree to attend the activity with all necessary items.

On this date, I understand and accept all above consent stipulations in the Moors to Mountains 2026 Returning Client Consent Form

Participant Signature

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