Consent Form

Student Details

Emergency Contact

It is your responsibility to make known any potential medical conditions that may effect you during the activities associated with the programme you will be taking part in. Please therefore provide as many details as possible. This information will be shared with the instructors and coaches at Phoenix Services only.

Medical Information

Have you ever suffered from any of the following conditions:


I understand that the training centres are under no liability in respect of any personal injury I may sustain during the course. If I wish to have personal accident cover, I shall arrange insurance before arrival.

In an emergency situation I authorise the organisers to take me to hospital and give my full permission for any treatment required to be carried out in accordance with the hospital’s diagnosis. I understand that my emergency contact person witll be contacted, as soon as possible, of the hospital visit and any treatment given by the hospital if necessary.

The information I have provided about my medical history is accurate to the best of my knowledge. I agree to abide by the conditions of booking and any rules published by Phoenix Services. I acknowledge that this information will be held (in the strictest confidence) on record until the course is completed.