Consent Form - The Mill Adventure Base

Step 1 of 5

Nottinghamshire County Council

AD 2026/27. Consent Form. Outdoor and Environmental Education. (The Mill Adventure Base). Valid April 2026 – March 2027.

Your Details (Participant 1)

Name(Required)

First Last

Address

Street Address Address Line 2 City County Postcode Country

Phone(Required)

Gender

Date of Birth(Required)

Other Participants

You MUST fill this in for all members of your party whether they are participating in activities or not. Those who have not been added to the form may be refused entry to the event.

Name (Participant 2)

First Last

Gender

Date of Birth

Name (Participant 3)

First Last

Gender

Date of Birth

Name (Participant 4)

First Last

Gender

Date of Birth

Name (Participant 5)

First Last

Gender

Date of Birth

Name (Participant 6)

First Last

Gender

Date of Birth

The Mill Adventure Base - Participant Information

The Mill Adventure Base

Nottinghamshire County Council, Children and Families offer a number of educational packages at The Mill Adventure Base, Kings Mill Reservoir, Sutton in Ashfield, together with off-site activities in Nottinghamshire, Derbyshire and further afield.

Important Information

All activities carry an element of risk and are run and supervised by appropriately qualified and experienced staff in accordance with procedures agreed by the Adventurous Activities Licensing Authority where required.
All necessary safety equipment is provided; this equipment is regularly checked and maintained.
Due to the nature of adventurous activities, all safety instructions must be adhered to and activities may be stopped if anyone is behaving dangerously.
No one will be expected to participate in any activity that is beyond his or her capabilities.
All participants should come suitably prepared for the activity. Where necessary protective clothing will be supplied; however, a complete change of clothing, including footwear, should always be brought along, plus a towel if undertaking water activities. Jeans are not suitable for any activity.
Whilst it is not essential to be a swimmer to participate in water activities, it is imperative that the instructor is aware of anyone with poor swimming ability or low water confidence.
Remote supervision may be employed during non-activity times within strict boundaries.
Any activity or programme that requires transport will use an appropriate and approved vehicle.
Anyone who is considered to be under the influence of alcohol or substances will be removed from site.
It is illegal to smoke at any Nottinghamshire County Council site and in any NCC vehicles.
Planned activities may need to be changed for safety reasons.

Please Note: Our roped activities have a maximum weight limit of 120kg, and all activities require personal protective equipment (PPE) to fit correctly before participation.

On Site Activities

Climbing & Adventure Activities

Climbing Wall, Abseil, High Ropes Course, Low Ropes Course, Zip Wires, Team Games, Artificial Caving System, Archery, Angel Throwing, Tomahawk Throwing, Bushcraft.

Clothing: Loose fitting clothes are required for ease of movement. Old trainers are ideal footwear.

Water Activities

Canoeing, Kayaking, Katakanuing, Stand Up Paddleboarding, Sailing, Raft Building.

Health Notice: The quality of inland waters can be of concern, particularly during the summer months. Participants should avoid unnecessary immersion, report any ill effects to a doctor, and contact the activity centre concerned.

Data Protection Act: The information you provide on this form will be treated as strictly confidential. The information will be entered onto a central database with strictly limited access. The information provided will only be used by Facial Palsy UK and Nottinghamshire County Council or their delivery agencies. We will not share information with anyone else.

Nottinghamshire County Council is licensed by the Adventure Activities Licensing Authority to provide Climbing, Caving, Watersports & Trekking activities. Details can be confirmed with the Licensing Authority on 02920 755715.

Do you give permission for your child to feature on the Mill Adventure base's social media sites, photographs, new releases, promotional literature, etc.(Required)

Yes

Signed(Required)

By clicking 'Agree' or 'Submit', you are signing this Agreement electronically and agree to be bound by its terms.

Date(Required)

Nottinghamshire County Council

Your Details (Participant 1)

Other Participants

Medical Information

Emergency Contact Details

The Mill Adventure Base

Important Information

On Site Activities

Climbing & Adventure Activities

Water Activities