Blind Foundation Recreation:  Health & Risk Information Form
Kapiti Island Trip Tuesday 16 October

Staff leading: Mary Fisher, Jo Hagele and Richard West

  • Participants name * Required
  • Emergency contact person name * Required
  • I declare that I have/ will inform the Blind Foundation Staff of any relevant health information prior to the event commencing. I am aware of the risks of participating in high intensity exercise and will follow the instructions of the staff involved. I give permission for the instructor to be informed of the information given on this form. I consent to be involved in any publicity, including photographs. * Required
  • This field is for validation purposes and should be left unchanged.