Participant Information

Participant Contact Details

first name

last name

phone number

email address

Date of Birth

day

month

year

Allergies & Medications

Do you have any allergies?eg: bees, pollen, dairy, gluten, peanuts, etc.

NoYes

If yes, please specify:

Do you carry any medication with you at all times?eg: inhaler, epinephrine autoinjector, nitroglycerin, etc.

NoYes

If yes, where can we find this medication?your pocket, pack, etc.

Emergency Contact

first name

last name

phone number

Boarding Experience

Where do you like to board?eg: location, terrain, length of time

How much boarding experience do you have?

Terms & Conditions

I hereby consent to be interviewed, recorded, photographed, videotaped or filmed by representatives of Sphere Adventure Programs for purposes of publication, display or broadcast (print, web, digital display and all other forms of media) within the organization’s related properties and websites.

I agree to have all participants e-sign the Release Agreement (link to waiver found in the footer) prior to this event

I agree to the terms of the cancellation policy

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Participant Information

Participant Contact Details

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Allergies & Medications

Emergency Contact

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Terms & Conditions

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