Serenity in the Pines Registration

Registration Form

Declaration of Health Conditions, Comorbidities, and Injuries

Please indicate if you currently have or have previously had any medical conditions,
comorbidities, injuries, or physical limitations that may affect your participation
in the activity.

None

Yes (please specify):

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By completing this form, I confirm that the information provided is true and complete
to the best of my knowledge, and that I am physically fit to participate or have
obtained medical clearance where necessary.

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Waiver and Assumption of Risk

By participating in any activities organized by The John Hay Wild, participants acknowledge that outdoor and physical activities involve inherent risks, including but not limited to physical injury, illness, accidents, or environmental hazards. Participation is entirely voluntary, and participants confirm that they are physically fit and capable of engaging in the chosen activities.

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Participants agree to assume full responsibility for any risks, injuries, loss, or damage that may occur during or as a result of participation. In consideration of being allowed to participate, participants hereby release, waive, and discharge The John Hay Wild, its organizers, partners, staff, and affiliates from any and all claims, liabilities, or demands arising from participation, except in cases of gross negligence or willful misconduct.

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Participants agree to follow all safety instructions and guidelines provided by activity leaders and acknowledge that failure to do so may increase risk of injury.

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First Name*

Last Name*

Date of Birth (mm/dd/yyyy)*

Country of Nationality*

Gender*

Preferred Schedule*

Mobile Number*

Email Address*

Street Address (If none, put NA)*

Barangay (If none, put NA)*

City / Town (If none, put NA)*

Province / State (If none, put NA)*

Zip Code (If none, put NA)*

Emergency Contact Person*

Emergency Contact Number*

Relationship*

Any food restrictions/allergies?

How did you hear about John Hay Wild?