Medical Form

Please fill out our online medical form below.

All information submitted is confidential, you will be emailed a automatic copy once submitted.

Vertical Frontiers Booking Form

 

Emergency Contact and Medical details:

 

Participation Statements

    Please read the following section carefully:

  • I have read, understood and agree to the terms and conditions of booking in particular, cancellation, personal insurance and adverse weather.
  • I agree to authorize Ben Bradford (or associates), during the course/activity to approve such medical treatment as is deemed necessary in an emergency and/or in accordance with the recommendations of a qualified medical practitioner.
  • Mountaineering and associated activities, by their nature, involve an element of risk, which cannot be totally eliminated. Every care is taken to ensure the safety and well being of participants. However, adventurous activities do involve the acceptance of risk and of responsibility for the consequences of one’s actions.
 

Verification