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About Us
ACCOLADES
- Awards
- Recognition
PARK ACTIVITY
- Educational Awareness
- Environmental Awareness
CSR PROJECT
- Completed Projects
- Future Projects
  - Enhancing Groundwater Recharge through a Sustainable Water Retention Structure (5.5 Lakhs)
  - Propagation and Conservation of Aromatic Plants Western Ghats (4 Lakhs)
AMENITIES
PORTFOLIO
- Conservation Day
- Fauna
- Flora
- Visitors
BLOG
- Butterfly
Nursery
Contact Us

Home
About Us
ACCOLADES
- Awards
- Recognition
PARK ACTIVITY
- Educational Awareness
- Environmental Awareness
CSR PROJECT
- Completed Projects
- Future Projects
  - Enhancing Groundwater Recharge through a Sustainable Water Retention Structure (5.5 Lakhs)
  - Propagation and Conservation of Aromatic Plants Western Ghats (4 Lakhs)
AMENITIES
PORTFOLIO
- Conservation Day
- Fauna
- Flora
- Visitors
BLOG
- Butterfly
Nursery
Contact Us

Online Course Registration

Step 1 of 5

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Are you in good health to take part in this course?*
- Yes
- No
It is mandatory to upload the scanned copy of the provided fitness certificate attested by a doctor to submit the form.

Click Here to download the Medical Fitness Assessment form.

Please make sure you have the scanned copy of the fitness certificate ready before filling the form.
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User Status*
- Approved
- Rejected
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Participation Level*
- B
- I
- A
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Medical*
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INSTRUCTOR NAME*
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FACILITATOR NAME*
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Remarks*
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CHEST NUMBER*
COURSE DETAILS
School / Organization / Company*
Course Title*
Course Date From*
Course Date To*
Course Location*

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PART A. PERSONAL INFORMATION

(Complete in CAPITAL LETTERS)
Participant’s Current Photo*
Max. file size: 32 MB.
Participant Name*
Participant's Parent / Guardian's Name*
Home Address*
Date of Birth*
DD slash MM slash YYYY
Age*
Gender*
Blood Type*
Height (cm)
Weight (kg)
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Email*
Participant's Contact No*
Nationality*
Others*

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Do you have health / accident insurance?*
- Yes
- No
Name of Insurance company*
Policy Number*
EMERGENCY CONTACTS :
Primary Contact Person*
Name: Relationship: Address: Contact no:
Alternative Contact Person
Name: Relationship: Contact no:
Physician (If any)
Name: Contact no:

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PART C. MEDICAL DECLARATION

1.Sky High Academy courses are mostly conducted outdoors in all weather conditions and involve long hours of physically and mentally demanding activities like carrying heavy packs, Challenge Ropes Courses, abseiling, trekking overland and other adventure activities.

2.To help us ensure your safety, please declare and specify fully and honestly any history of the following medical conditions and carefully consider the possibility of aggravating these conditions if you participate in the course.
Mark (X) to indicate NO or YES to each question.Do not leave any blank.

If you mark YES anywhere, please encircle the specific medical condition & provide details.
Does the Applicant suffer from, experience or have any history of the following medical conditions? (please check one)
Allergic reactions to insect bites, pollens or the Like*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Bronchial asthma, exercise-induced asthma,bronchitis, tuberculosis, other lung problem (pls. specify)*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Dizziness, chest pain or unusual shortness of breath while walking or exercising*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Heart Disease, Heart Attack, Palpitations, Heart Murmur*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
High Blood Pressure (Hypertension), Stroke,Diabetes*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Thyroid Problems, Blood disorders (leukemia,anemia, thalassemia, hemophilia)*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Seizures/epilepsy, fainting, migraine, headache*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
History of severe head injury, nervous system Conditions*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Meningitis, severe tonsillitis, kidney problems,Hepatitis*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Eye problems, ear problems, vertigo*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Allergy to medicines, foods and others, or medication reactions*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Bone or joint injuries and other Orthopedic conditions (temporary/permanent): e.g. fractures/dislocation, sprains/strains*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Carrier of any infectious diseases (pls. specify)*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Medical treatment or hospitalization within the last two years*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Systemic Lupus Erythematosus, Bipolar Disorder*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Routine or current maintenance medications (pls. specify)*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Any form of physical limitations/disability or impairment, medical limitations (pls. specify)*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Any problems on the following areas: neck,clavicles, shoulders, hips, knees, back, wrist,ankles, or others*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Surgery in the past years or follow-up care from a surgical procedure*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Treatment or therapy for a psychological Condition*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Other important medical information (pregnancy, disabilities, obesity, others)*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Active or chronic medical conditions*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Acute anxiety concerning heights/fear of heights, any identified phobias*
- Yes
- No
If Yes Provide the Details of Condition (e.g.severity,date it last occurred, prescribed medication)*
Date/Year you received a tetanus immunization
UPLOAD YOUR MEDICAL FITNESS ASSESSMENT*
Max. file size: 32 MB.

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PART C. ACKNOWLEDGEMENT OF RISK & CONSENT

ACKNOWLEDGEMENT AND CONSENT OF PARENT OR GUARDIAN

I ALLOW MY CHILD TO ATTEND THE COURSE AT SKY HIGH ACADEMY CAMP.

I am aware that my child’s attendance in the Course involves a significant element of risk. The risk of serious injury is extremely small but it is not non-existent. While safety is of the highest priority in every Course, I understand that in any adventure activity, there will be some factors beyond control. My child will be briefed before every activity and is expected to follow the safety procedures explained to him/her and to indicate if he/she is unsure of what is expected.

I certify that the level of my child's participation is in no way forced by anyone, that the way in which my child participates is always his/her choice, and I knowingly and voluntarily assume all risks associated with my child's participation in these activities.

I declare that all medical information provided in Part C are true and correct and that I have not withheld any relevant information. I understand that failure to disclose this information could affect my child's safety and those around my child, and I agree to hold Sky High Academy harmless if full disclosure of pre-existing medical conditions has not been provided.

In the event of an emergency and Sky High Academy is unable to contact me, I give permission for any medical treatment deemed necessary to maintain my child's well being.

My child shall diligently comply with all Sky High Academy safety regulations, training conditions and instructions, which include no smoking and no consumption of alcoholic drinks and drugs. My child shall fully cooperate with the instructors and staff of Sky High Academy.

I agree to be responsible for any damage my child may cause to Sky High Academy facilities or equipment. Sky High Academy is not responsible for loss, theft or damage to my child's personal belongings stored at its facilities.

I shall, therefore, release Sky High Academy, its staff and Board of Trustees from all liability for any damages, including property damage, physical injuries, mental, or emotional stress or death from my child’s participation in the Sky High Academy Camping program.

ALL PARTICIPANT ARE SAFETY OFFICERS BECAUSE SAFETY IS YOUR RESPONSIBILITY, NOT SOMEONE ELSE’S!

AS THE APPLICANT'S PARENT/GUARDIAN, I VOLUNTARILY SIGN AS PROOF OF MY ACCEPTANCE OF THE ABOVE PROVISIONS AND THAT I HAVE READ AND COMPLETELY UNDERSTOOD ALL ASPECTS OF THIS COURSE REGISTRATION FORM AND AGREE TO ITS TERMS IN ITS ENTIRETY.

I agree about the usage of my photos and videos for promotional purposes and is copyrighted to SKYHIGH ACADEMY.

Adventure activities and Alcohol do not, and never will, Mix
Parent's / Guardian's Name*
Consider as your signature
Applicant's Name*
Consider as your signature
Phone
This field is for validation purposes and should be left unchanged.

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