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Freelancer Form

Please submit this form to agree that you have received:

  • The Freelancer Handbook
  • Kit lists for all activities that you will be working on
  • Risk Assessments for all activities that you will be working on

By submitting this you agree that:

  • You are working in a freelance capacity for Lost Earth Adventures.
  • You are self-employed and responsible for paying your own taxes. You are not employed by Lost Earth Adventures.
  • You will not let a person take part in an activity if they have not completed a Booking Form.
  • You will not get paid if you take participants on an activity that Lost Earth Adventures have arranged if the participant has not completed a Booking Form.
  • You understand that any insurance policy may not be valid in the event of injury or death due to a Booking Form not being completed. Clients or our insurer could look for compensation from you if booking forms were not completed prior by a participant and an accident occurred. Booking forms must be photographed and emailed to staff@lostearthadventures.co.uk immediately at the end of the activity and the original copy destroyed. Do not destroy until you have received confirmation that we have received the photographs.
  • You agree that Lost Earth Adventures and Lost Earth Adventures’ insurers may seek to claim compensation from you if you have taken a person on an activity without ensuring they have completed a Booking Form and a claim arises for death or injury.
  • You will always keep a sufficient stock of paper copies of Adult and Child Booking Forms with you and you will give a manager or director at Lost Earth Adventures’ head office sufficient warning if you have a problem with being able to print them.
  • You will check all your own equipment and also the kit supplied by Lost Earth Adventures for safety before each activity you are working on for Lost Earth Adventures and will use the equipment in-line with the manufacturers recommendations. This includes your own personal ropes, helmets, harnesses, buoyancy aids, karabiners and any other safety critical items.

Your first name:

Your middle names - If applicable:

Your surname:

Your Date of Birth (dd/mm/yyyy):

Telephone number:

Mobile telephone number:

Email address:

Confirm email address:

Tick the boxes if you have the following currently

Mountain Guide
MIC
MIA
WML
ML
HML
SPA
RCI
Cave Leader 1
Cave Leader 2
CIC
White Water Rescue (any cert)
Kayaking (any level)
Canoeing (any level)
Stand up paddle boarding (any level)
Mountain Biking (any level)

Please tick if you have been signed off/told by us to lead in:

Peak District Gorge (Fairbrook Clough)
Studfold Gorge (Blayshaw Gill)
Ingleton Canyoning (Beezley) Upper Section
Ingleton Canyoning (Beezley) Lower Section

Please tick if you have experience leading for other centres:

Canyoning
Gorge walking
Team building
Management training

Please tick areas you want notifications of work

Peak District
Lake District
Scotland
North Wales
Eastern Yorkshire Dales
Western Yorkshire Dales
North York Moors
Nepal
Mt Toubkal
Kilimanjaro

Street Name and Number:

City:

County/State/Province:

Postcode:

Country:

Sex (M/F):

Name of Emergency Contact:

Relationship of Emergency Contact to you:

Emergency Contact telephone number:

Please describe and detail any medical condition you have and any precautions you need to adhere to or dietary requirements (if none, write none):

If you are on or are required to take any medication please list the name of the medication you take, the required dosages and times it is needed to be taken (if none, write none):

Date of your first aid expires (dd/mm/yyyy):

THIS FORM WILL NOT HAVE SUBMITTED UNLESS YOU HAVE ANSWERED EVERY QUESTION ABOVE. YOU WILL RECEIVE A THANK YOU MESSAGE ONCE IT HAS SUBMITTED SUCCESSFULLY.

This form will only be used internally and will not be shared with any third parties.

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Copyright ©2019 Lost Earth Adventures, All Rights Reserved. Lost Earth Adventures is a Limited Company Registered in England No. 7455734. VAT No. 234433135.