Participation Statement

“The British Mountaineering Council recognises that climbing and mountaineering are activities with
a danger of personal injury or death. Participants in these activities should be aware of and accept
these risks and be responsible for their own actions and involvement.”

Personal Details

Full Name (required)

Date of Birth (required)

 Male Female

Your Email (required)

Your Address(required)

Your Contact Number (required)

Conditions of Registration

If you are under 18 years of age DO NOT fill in this form! Please go to here for the correct form.

Are you Over 18 years of Age
YesNo

*Can you put on a climbing harness correctly?
YesNo

*Can you attach a rope to your harness using a suitable climbing knot?
YesNo

*Can you use a belay device to secure a falling climber and lower a climber from the
wall?
YesNo

Do you require instruction in any of the above three techniques (marked
*)?
YesNo

Do you understand that failure to exercise due care could result in your injury or death?
YesNo

Do you have any questions regarding the Course and Risks Attached?
YesNo

Do you agree to abide by all Instructions from the Course Instructor?
YesNo

Any Further Details

Declaration of fitness

I certify that to the best of my knowledge, I do not suffer from a medical
condition which might have the effect of making it more likely that I be
involved in an accident which could result in injury to myself or others.

Declaration of fact

I also confirm that the above information is correct and if any information
changes I will notify the centre:

By ticking this box you accept the declaration of fitness and fact and have read the BMC participation statement
 Accept

Initials (required)

Date (required)