Participant Waiver

This Participant waiver must be completed for each person taking part in circus activities at Nottingham Circus Arts. Adults aged 18+ should complete their own waiver. For participants under 18, their parent or legal guardian must complete this form.

Waivers are valid for 12 months. A new waiver must be completed sooner if relevant circumstances or information changes.

Participant Details

First Name

Last Name

Birthday

Day

Month

Year

Parent / Legal Guardian Details —

Under 18s Only

For participants under 18, their parent or legal guardian must complete this entire waiver. Please provide your details below.

Parent / Legal Guardian Full Name

Phone

Emergency Contact

Emergency Contact 1 Name

Relationship to Participant

Emergency Contact Phone Number

Medical, Injury & Support Information

Is there anything we should know about the participant’s health, medical conditions, injuries, allergies, medication, disabilities, access or support needs to help them participate safely?

Please include anything relevant our instructors should be aware of. If there is nothing to declare, enter “None”.

Participation & Risk Acknowledgement

Circus activities are physical activities and may include aerial equipment, acrobatics, balance, flexibility, movement and other circus skills. As with any physical activity, participation involves some inherent risk of injury, including falls, strains, sprains, bruising and other injuries.

Nottingham Circus Arts takes reasonable steps to manage risks through appropriate instruction, supervision, equipment, procedures and safety practices. However, it is not possible to remove all risks associated with participation in circus activities.

By participating, you agree to follow instructor guidance, safety instructions and any restrictions placed on activities or equipment. Participants must not attempt skills, use equipment or train at heights without appropriate permission or supervision.

I confirm that I understand the nature of circus activities and the inherent risks involved, and I agree that the participant will follow Nottingham Circus Arts instructor guidance, safety instructions and participation requirements.

Health & Medical Information

Circus is a physical activity. It is important that Nottingham Circus Arts is made aware of any medical condition, injury, allergy, medication, disability, additional need or other information that may affect the participant’s safety, participation or the support they may require.

Relevant information should be provided through the appropriate booking or registration form and must be kept up to date. Please inform Nottingham Circus Arts of any relevant changes before participating in future sessions.

I confirm that I have provided, or will provide before participation, any relevant health, medical, access or support information Nottingham Circus Arts may reasonably need to support safe participation, and I will inform Nottingham Circus Arts if this information changes.

First Aid & Emergencies

Nottingham Circus Arts staff may provide appropriate first aid if reasonably necessary during a session. In the event of a serious illness or injury, we may contact the emergency services and take reasonable steps to obtain appropriate medical assistance.

Where the participant is under 18, we will also make reasonable efforts to contact their parent/legal guardian or emergency contact as soon as possible.

I consent to appropriate first aid being provided to the participant where reasonably necessary and, in an emergency, to Nottingham Circus Arts contacting the emergency services and seeking appropriate medical assistance.

Participant Responsibilities

& Safety

To help keep everyone safe, participants are expected to behave responsibly, follow staff instructions and use equipment only as directed. Participants should tell an instructor if they feel unwell, experience pain or discomfort, feel unsafe, or are unsure about an activity or instruction.

Nottingham Circus Arts may adapt, restrict or stop a participant from taking part in an activity where staff reasonably believe this is necessary for their safety or the safety of others.

I understand and agree to these safety expectations and understand that Nottingham Circus Arts may adapt, restrict or stop participation where reasonably necessary for safety.

Participants are expected to treat staff, instructors, volunteers, other participants and visitors with kindness and respect. Nottingham Circus Arts has zero tolerance for bullying, harassment, intimidation, abusive or threatening behaviour, deliberate exclusion, discrimination, or behaviour intended to upset, humiliate or harm others. This includes inappropriate behaviour in person and, where connected to Nottingham Circus Arts or its participants, online.

Where behaviour falls below these expectations, Nottingham Circus Arts may intervene, restrict participation, ask a participant to leave a session, or take further action where reasonably necessary to protect the wellbeing and safety of others.

I understand and agree to Nottingham Circus Arts' safety and behaviour expectations, including the requirement to treat staff and others with respect. I understand that participation may be restricted or stopped where behaviour presents a safety or wellbeing concern or falls seriously below these expectations.

Photography & Video Permission

Do you give permission for photographs and/or video of the participant to be taken during Nottingham Circus Arts activities?

Yes, I give permission

No, I do not give permission

If yes, please select any and all of the following uses you are happy to give permission for:

Nottingham Circus Arts website

Nottingham Circus Arts social media

Printed promotional materials, posters and leaflets

Displays within Nottingham Circus Arts

Press, media or promotional coverage relating to Nottingham Circus Arts

Declaration

By submitting this waiver, I confirm that the information provided is accurate to the best of my knowledge. I understand that I am responsible for informing Nottingham Circus Arts if relevant information changes.

I confirm that I am either the participant named above and aged 18 or over, or I am the parent or legal guardian of the participant named above and have authority to complete this waiver on their behalf.

I understand that this waiver is valid for 12 months from the date it is submitted, unless relevant circumstances or information changes sooner.

Signature

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