Mount Snowdon Challenge Registration Form

Mount Snowdon Challenge Registration Form
16th May 2015
Personal information
Title
First name
Sur name
D.O.B
Gender
Male / Female
Address
Mobile number
House number
Email
Emergency contact details
Full name
Contact number
Relationship to you
Medical issues
Please give details of any medical problems such as epilepsy, diabetes, high blood pressure,
allergies etc. If you have any medical problems please seek medical advice before registering for
this event
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The Abrahamic Foundation, 215 High Street, Smethwick, B66 3AH
www.abrahamicfoundation.org.uk | 0121 448 9800
Terms and Conditions
• Participants aged under 16 must be accompanied and supervised by a responsible adult.
• The organisers reserve the right to cancel the event or change the routes specified for safety
reason because of adverse weather conditions.
• The organisers will allocate the time each participant will start the walk. The organisers’
decision is final.
• Taking part in Snowdon is at your own risk and The Abrahamic Foundation will not be liable for
any injury or loss that may occur as a result of your participation. We recommend you take out
your own insurance to cover accident or loss during the course of the event.
• Participants are responsible for their own health and wellbeing. If there is any doubt about
your fitness you should consult a doctor before signing up for the event.
• By taking part participants confirm they are content for photographs taken during the course
of the event to be used by The Abrahamic Foundation for publicity and promotional services
Please send your entry form together with your £30 entry fee (made payable to The
Abrahamic Foundation).
A REGISTRATION FEE of £30 is payable per person; which is a non-refundable fee to cover event
administration and organisation costs to ensure that all sponsorship funds raised go to The
Abrahamic Foundation.
I have read and understood the terms and conditions
Signed:
Print name:
Date:
The Abrahamic Foundation, 215 High Street, Smethwick, B66 3AH
www.abrahamicfoundation.org.uk | 0121 448 9800