Sample participant consent form – London iSoc

Overview

This unique challenge provides an opportunity for iSoc sisters to experience a blend of physical endurance, spiritual growth, and communal support, following a journey that evokes empathy with refugees. By participating, you agree to engage with each phase of the challenge in the spirit of resilience, unity, and reflection.

Please carefully read the terms of participation and complete the form below.

Participant information

Name:
Date of birth:
Contact number:
Emergency contact name and number:
Email address:

By signing below, I confirm that I understand and agree to the following:

1. Physical participation

I acknowledge that this challenge involves a series of physically demanding activities, including extended walking, carrying a rucksack, and completing an assault course.

I confirm that I am physically fit to participate and have no medical conditions that would prevent me from safely engaging in these activities.

I agree to take personal responsibility for monitoring my health throughout the challenge and will inform organisers immediately if I feel unwell or need assistance.

2. Fasting and spiritual intentions

I understand that this challenge is structured to align with spiritual practices, including fasting and prayer.

I confirm my intention to participate in these practices as part of the challenge, contributing to the sense of shared experience, resilience, and growth.

3. Dress code and modesty

I agree to wear full Muslim dress throughout the challenge, symbolising unity, faith, and commitment to the shared purpose of the journey.

I understand that this dress code aligns with the values of the challenge and contributes to the collective experience.

4. Walking and reflective journey

I understand that the challenge includes walking to and from various locations, such as the initial departure to London Victoria Station and the journey to the assault course at Henfold Lakes.

I acknowledge that these walks are designed as moments for reflection, patience, and mutual support, simulating the journeys made by refugees.

5. Liability and assumption of risk

I understand that while every effort will be made to ensure the safety of participants, certain risks are inherent in this challenge.

I accept full responsibility for any risks associated with participation and agree to hold the organisers harmless from any liabilities, claims, or damages that may arise.

Please select your media preferences:

☐ I consent to being photographed and/or recorded during the event, with images and videos potentially shared publicly by event organisers and sponsors for promotional purposes.
☐ I consent to being photographed but do not consent to public sharing of images or videos. I agree to limited use only for personal keepsakes or internal records.
☐ I do not consent to any photography or videography.

7. Memento request (optional)

We would like to offer a personal memento of the day (such as a photobook or a video) to participating sisters.

Please select one option:

☐ Yes, I would like a memento, and I consent to having my image included in it. I understand that the memento will be shared only with participants and will exclusively include photos of me fully covered in my abaya and hijab.
☐ No, I do not consent to my image being included in the memento.

Participant acknowledgement

I, the undersigned, have read and understood the terms of participation in the Trials & Tribulations challenge. I agree to adhere to the guidelines and responsibilities set out above, and I consent to participate fully, respecting the objectives and spirit of the event.

Signature:
Date: