Cookie Policy

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Health & Safety Registration and Disclaimer Form

Event Date

Event date*

Please enter the date of the event you will be attending. This will help us retrieve your disclaimer on the day.

Personal details

Before providing us with your personal data you can read why we need this data, how we will use it and what your rights are in our privacy policy.

First name*

Last name*

Preferred pronouns (optional)

Email*

Date of birth*

Address*

Postcode*

Home phone

Mobile phone*

Emergency Contact Information

Emergency Contact # 1

Name*

Relationship*

Contact number*

Emergency Contact # 2

Name*

Relationship*

Contact number*

Medical Information

In order for us to keep you safe in the studio, or during any Watermelon activities outside of the studio we need to collect and store your health data. In cases of an emergency we may share your medical data with medical professionals if required.

Do you have any medical conditions which may require treatment or medication?*

Yes No

If yes, please give details

Do you suffer from problems regarding knee/back/shoulder/ankle/hip/neck?*

Yes No

If yes, please give details

Do you have any allergies?*

Yes No

If yes, please give details

MEDICAL DATA & EMERGENCY MEDICAL TREATMENT

Please tick to confirm

You can withdraw consent at any time, please check out our privacy policy for more information.

DISCLAIMER

I consent to the watermelon studio processing my health data. I understand that my medical data may be shared with medical professionals if required in the event of an emergency. I give permission for myself to receive medical treatment in the event of an accident/emergency.
Disclaimer Terms
I recognise that I may be asked to participate in some strenuous exercise during the course and that such participation may present a heightened risk of injury or ill health. All risks will be fully explained and I do NOT hold The Watermelon Studio and any of their staff responsible for any harm that may come to me should I decide to participate in such tasks. I knowingly assume all risks associated with participation, even if arising from negligence of the participants or others and assume full responsibility for my participation. I certify that I am in good physical condition can participate in the courses offered by The Watermelon Studio.
I will not participate if pregnant or if I have given birth within the previous 6 weeks or C-section within the previous 12 weeks.
I will update my teacher on any new medical condition/injury throughout my time at The Watermelon Studio.
I will not participate under the influence of drugs or alcohol.
Other teachers/instructors may use the information submitted in this form to help keep the chances of any injury to a minimum. I also hereby agree to follow all rules set out by The Watermelon Studio.
I understand that photographs taken at the studio may be used on the studio's website and social media pages, this will always be asked before the picture is taken.
I have read and agree to the terms and conditions on the website. I understand that these change frequently and will check them regularly:
https://www.thewatermelonstudio.co.uk/t&c.html
Over 18 Statement
I confirm that I am aged 18 or over
CCTV: I accept that The Watermelon Studio has CCTV in place for student and instructor safety as well as insurance purposes. I understand that footage is kept for no more than 30 days unless required for a claim or the police. The only person to have access is the owner Gwen Holbrey, and the footage is secured in a locked area with a passcode. For more information on how we process your data please see the Privacy Notice: https://booking.thewatermelonstudio.co.uk/data-privacy-policy/
Room Hire:
I agree to all room hire terms and conditions:
https://www.thewatermelonstudio.co.uk/t&c.html
I have read and agreed to all terms and conditions (updated January 2024) when booking at The Watermelon Studio:
https://www.thewatermelonstudio.co.uk/t&c.html

Please tick to accept terms

I confirm that I am aged 18 or over

Please tick to confirm

Please re-enter your first and last name to submit your data.
By submitting this form, you confirm that the information you have provided is complete and accurate.*

If you have any additional questions or concerns, please contact info@thewatermelonstudio.co.uk.

View our data privacy and cookie policy.