Adult participant’s form, authorizations and health information


To prepare for your participation, offer a quality activity, provide the appropriate technical gear and be able to provide rapid intervention if necessary, please complete the following form:

    Participant's Information

    in cm

    in kg

    eu (mondo for ski)

    Necessary, you can find it on the back of your insurance card

    all

    Arrived in Geneva

    languages spoken by the child

    More info

    name or email of the person who recommended enrolling in this activity

    Data transmission consent and Statements
    *I agree that personal data marked with1,3, be transmitted to Jeunesse+Sport (J+S)..Our activities are J+S approved, therefore we must transmit the data of J+S participants, and if your condition requires additional qualified help, we need to justify it to J+S:

    *I have read and accepted Terms & Conditions and Privacy Policy:

    *I agree to my personal information, marked with 1 being sent to REGA to benefit from free insurance coverage:

    Participant's full name

    The participant also declares:

    I release Tchili Easy Learning, its affiliated members and all other stakeholders from any responsibility in case of accident or any other harmful circumstance that could occur both in the mountains and during access to activities during transportation, leisure activities, training or other events.

    I hereby authorize Tchili Easy Learning, its activity leaders, trainers, instructors, etc., whether external or internal, to take all emergency measures (medical treatment, hospitalization, surgery) made necessary by my condition.

    I am aware of the risks involved in mountain activities, which require compliance with the safety instructions given by the activity leader or instructor.

    I will respect the copyrights and not reproduce, distribute, copy, publish or transmit the educational materials provided by Tchili Easy Learning and commit torespect these copyrights according to the Tchili Easy Learning General Conditions and Rules.

    Engagements and Authorizations
    *I agree torespect the group's rules of communication:
    *I authorize the creation of video and audio recordings illustrating the learning process on which I might appear:
    *I agree to not publish photos and/or films without the consent of all concerned persons (facebook, youtube, tiktok, instagram, snapchat ...):

    *Authorize Tchili Easy Learning, its activity leaders, coaches, monitors, etc., external or internal, present during the activities to take photos or videos of me that may be published by Tchili Easy Learning and its institutional partners (e.g. on the website, newsletter, articles, flyers):
    *I also authorize Tchili Easy Learning’s organizational partners and sponsors to use this media.

    of the person filling out this form

    of the person filling out this form

    participant, mother, father, SW, SA, ...

    Name of the institution, the organization

    Health Information

    Including ASD, ADD(H), -Dys, ...

    with country code, e.g. +41798654321

    with country code, e.g. +41788654321

    with country code, e.g. +41228654321


    Personal data marked with 1 will be transmitted to Jeunesse+Sport (J+S). Our activities are J+S approved, therefore we must transmit this data. Personal data marked with 3 may be passed on to J+S if your condition requires a higher level of qualified care and we have to justify this to J+S.
    Personal data marked with 1 might be transmitted to REGA if you agree to it in order to benefit from the free rescue assistance insurance REGA offers to our participants.
    *For transmissions involving sending personal data (other than your e-mail address), we use an encrypted mailbox(protonmail) and store your data offline. We do this to maximize the confidentiality of your personal data, at least on our side.

    We also invite you to choose a data-friendly or encrypted e-mail service for sending your personal data.