Lost & Found Jailbreak (Saturday 4th February – Sunday 5th February)
Name (Your Name):Student Number:
Name (Team Members Name):
Contact Number:
Email Address:
Charity you will be raising for (select from the following): / Mind / Naomi House / Trinity Winchester
Are there any medical conditions that you believe Winchester Student Union should be made aware of before your participation in the ‘Lost & Found Jailbreak’?
Yes/No (Please Circle)
If Yes, to the above, please provide more detail?
______
______
Next of Kin details
Name:Relationship (e.g. Mother):
Contact Number
Address:
Lost & Found Jailbreak participant contract
Jailbreak 2017, as part of Winchester Student Union’s RAG Week, is a chance for our members to raise money for causes close to their hearts, whilst exploring the breaths and depths of the United Kingdom. The Jailbreak will begin at 10am on Saturday 4th February, and run for 24 hours. Each team must arrive back to Winchester within the 24 hour period, and the team who reaches the furthest away from Winchester (as the crow flies) wins. However, as with any competition there are a few rules that you must agree to. So please read the contract, disclaimer and behaviour disclaimer and sign where appropriate. If you have any questions please email
I agree to…
1.1. Have a valid Student Activity Number
1.2. Have paid the entry fee of £6.00 in full before beginning any fundraising activity in relation to the Winchester Jailbreak 2017
1.3. Ring the on-campus Jailbreak call centre at least once an hour with an update of my teams location
1.4. Update the text tracking system at least once an hour, or if there has been an extraordinary change in location
1.5. Sign-out via the SU Meeting Room on arrival back
1.6. Arrive back within the 24 hours window, or do everything possible in an attempt to do so.
1.7. Not leave the United Kingdom at any time during the Jailbreak
1.8. Not enter any vehicles alone or without the rest of my Team
1.9. Provide evidence that you have access to at least £100.00 in the case of an emergency.
1.10. Not engage in anything that you believe to be of risk or which hold the possibility of resulting in harm to yourself or others.
1.11. Do everything reasonably possible to maintain phone charge
1.12. Ensure that any travel plans include the ability to return to Winchester within 24 hours
1.13. Reimburse any cost the Student Union incurs as a result of your behaviour or actions.
1.14. Where seatbelts when entering any vehicle
1.15. Avoid getting into conservations regarding controversial subjects
1.16. Keep safe a ‘next of kin’ card which will contain contacts details in case of any emergency
I ______agree to the rules sent out as above and understand that if I fail to follow all the rules above I am likely to be disqualified from the event without any reimbursement.
SA Number:
Team Name:
Date: