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 _____________________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 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
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