RELEASE FORM (to be filled in by each guest or his/her guardian)

For your safety and full enjoyment of the upcoming experience, kindly read through our Health & Safety guidelines (click this link).

If you'd like to know even more about our H&S procedures, and why this form is required, please click here.

 

Please fill in the details below to confirm that you have read through our guidelines.

 

Please insert here the name of the person who is organising this activity on your behalf.
Please enter the date when you're planning to attend the 'rural tour', 'eco activity', 'farm or workshop visit'. The day may be subject to change depending on a number of variable things, such as adverse weather conditions, available tours etc. In such case, this same form would apply only if the activity is held within 3 weeks of the original date.
Ms. / Mr. / Dr. etc.
I confirm that I am the legal guardian of this guest, and that s/he has my permission to attend this activity. S/he will be accompanied by myself or a person that I entrust at all times, before, during and after the activity.
Please let us know what are your dietary requirements, so that we will be able to provide alternatives.
I want to receive updates and offers relating to the Merill Rural Network. (We will only send out relevant content and you can unsubscribe at any time.)
By clicking 'Submit', I confirm that I have read and agreed in full to the Terms and Conditions. Today, Monday, October 23, 2017 - 15:07.