Parental Consent Form Under 16s

The Base Under 16's

This for is for riders under the age of 16 years old. A Parent or Guardian must complete before the rider can participate.
  • Parent or Guardian Details

  • Rider Details

  • Please detail any current medications and allergies
  • Emergency Contact Details

  • By signing this Consent Form you consent that you will be participating in an Extreme Sport that can be dangerous and accept that you use the facilities at THE BASE entirely at your own risk and that you will not hold THE BASE Skatepark CIC, Directors, or employees liable in any way whatsoever for any injuries which result from using or spectating at these facilities or for any accidents, loss or damage or death whilst on these premises save in the case of negligence. If you sign this form you will be giving permission for THE BASE to obtain medical help in the event of an injury or illness.

    I confirm that I have read and understood The Base Skatepark rules, terms and conditions and have been strongly advised that I should wear full protective equipment, therefore taking full responsibility for my actions. I am also fully aware of the risks involved with extreme sports and use the entirely at my own riskk.