Attendees Form

• Ticket Name

  Full Name

  Email

  Phone Number*

  Address*

  Date of Birth (Please note our clean-ups are open to over-18s only)*

  Emergency Contact Name*

  Emergency Contact Number*

  Emergency Contact Relation To You*

  If attending a paddleboarding clean up. Have you paddleboarded before?* Yes No Yes but a long time ago

  Do you suffer from any of the following? (Tick all that apply)* Allergies Asthma Epilepsy Diabetes Open Cuts or Wounds Skin Conditions Recurring Headaches Hearing Impairment None

  If yes, please provide further details

  If you are receiving any medication, please provide details

  Please download the Planet Patrol app (https://planetpatrol.co/download-our-app/) and create an account before the clean up. You will be expected to record all litter you collect in the app, helping to contribute to our global evidence base.* Yes I have downloaded the Planet Patrol app.

  We’d love to get to know you and our community a little bit more in the below section. This is entirely optional!

  How did you discover the Planet Patrol clean up? Search engine (e.g. Google) Planet Patrol’s Instagram Planet Patrol’s Facebook Other social media Planet Patrol’s newsletter Through a friend or family Instagram ad In the news Other

  If other, please enter below where you found us

  How do you identify? Female Male Non-binary Prefer not to say

  Which ethnicity do you identify as? White/Caucasian Asian/Asian British Black/African/Caribbean/Black British Arab Mixed/Multiple Ethnic Groups Other Ethnic Group Prefer Not To Say

  What is your occupation? Employed Self-employed Unemployed Student Retired Other Prefer not to say

  Agreement Information

  You must agree to the below information in order to participate.
  
  By signing this form you confirm that:
  
  - You have reviewed and complied with all applicable current Government Guidance about participation in recreational activities, including all applicable information about travel and requirements to isolate where necessary. In particular, you confirm that you are not unwell or otherwise have any COVID related symptoms.
  - If you have a high-temperature or a new, continuous cough, you must follow all applicable Government guidelines and self-isolate. You must not attend the session if you are unwell.
  - When you arrive at the clean-up, you will receive a safety briefing from Planet Patrol prior to starting the clean-up session.
  - You understand that participating in the session whilst intoxicated is strictly prohibited and you will not consume any alcohol or illegal drugs during the session.
  - You will not pick-up any hazardous waste, needles or glass. You will follow advice in the safety briefing as to types of litter to collect.
  - You understand that photographs and/or videos may be taken of volunteers whilst participating in the session and you agree that Planet Patrol may use such photographs of you for the purpose of promoting future Planet Patrol clean-up sessions.
  - You are responsible for completing this form accurately and any omissions or errors are the fault of the signatory and not Planet Patrol.
  - You understand that there are dangers involved with participating in the session such as currents, tides, wake from boats, drowning, Weil's disease, sunburn, hypothermia, injury, dehydration and actions of other participants. You therefore assume any and all risks associated with your participation in the event including damage or loss to property, personal injury, illness or death. For the avoidance of doubt, Planet Patrol is no way liable for personal injury or death during the clean up session.
  - Planet Patrol may administer first aid or arrange transport to the hospital for treatment if necessary. You also agree to treatment in the event of an emergency administered by a medical professional.
  - You understand and consent that your name, contact number, emergency contact details, paddling ability and medical details will be shared with Planet Patrol clean up leaders for the purpose of the clean up only. Your details will be deleted after the event takes place.
  - You accept the terms of Planet Patrol’s privacy policy.

  * I agree to the above terms