Snowdon Charity Challenge Registration Form

Snowdon Charity Challenge Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth*

DayMonthYear
Date

Do you have any Health or Medical Conditions?*

YesNo
If yes, please make us aware of any health, medical or well-being conditions that will help us support you in the event.
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*

Area CodePhone Number
T-shirt size
1. Registration and Sponsorship

a) I agree to pay a non-refundable registration fee of £35 to Coventry Mercia Lions to secure my place in the Snowdon Charity Challenge and that this registration fee will be in addition to the fundraising target of £200. A percentage of this income will cover the costs associated with participation in this event and all additional funds raised will go directly towards Khalsa Fostering CIC, and cannot be restricted to any particular programme, service or branch of Khalsa Fostering CIC.
b) I understand that I must ensure that my sponsors are aware that part of my minimum sponsorship will cover my challenge costs.
c) I understand that I must be at least 18 years old on the date of the event, or over 12 and be accompanied by a parent or guardian at all times during the event. The parent or guardian must sign a declaration confirming they understand this requirement and their duty of care to the child. This also applies if the adult has to unfortunately drop out of the event for any reason. (we cannot have under-18’s on their own at any time).
d) I understand that all places are given on a first come, first serve basis of when applications are received by the Events Team. Applicants will be informed via email or telephone if they have secured a place in the event.

2. Health and Safety

a) I understand that all participants take part in the event at their own risk and agree that, as far as they are aware, are suitably fit and physically able to compete in the event. Participants who have any doubt about their health or have a medical condition that could be affected by exercise must obtain their doctor’s approval before participating in this event. I understand that the participant is solely responsible for acting on doctor’s advice and Coventry Mercia Lions shall not be held responsible for any injury or illness that may be caused as a result of the event.
b) I understand that each participant is responsible for their own actions whilst attending and/or participating in the event. Coventry Mercia Lions accepts no responsibility for the actions of the participant nor the consequences of such actions. This continues to the participants’ personal belongings, which are brought and stored at their own risk and Coventry Merica Lions accepts no responsibility for any items that are damaged, lost or stolen at the event.
c) No illegal substance, performance-enhancing substances or intoxicants of any kind are permitted to be brought to this event, or used by participants prior or during the event. Coventry Mercia Lions reserves the right to refuse attendance at or participation in the event to anyone who has consumed and/or have in their possession any illegal substance, performance-enhancing substances or intoxicants of any kind.

3. Images and footage

a) I hereby agree that all images or footage taken of me at the event may be used by the Coventry Mercia Lions in future promotional material, including our websites, social media and charity magazines and reports, unless stated otherwise. (If you are under the age of 18 a parent or guardian can contact the Coventry Mercia Lions on your behalf: info@coventrymercialions.co.uk)

4. Cancellations and Withdrawals

a) Except in exceptional circumstances as determined by Coventry Mercia Lions, I understand that all registration fees are non-refundable. Participants who wish to withdraw from the event should inform Coventry Mercia Lions in writing and all sponsorship forms and money collected needs to be sent directly to the Coventry Mercia Lions, and sponsors must be notified. All sponsorship monies will be retained by Coventry Mercia Lions unless sponsors request in writing that Coventry Mercia Lions return it to them within one month of the cancellation (not applicable for online donations).
b) I agree that through signing up to this event I am representing the Coventry Mercia Lions and abide to the charity’s values. Coventry Mercia Lions reserve the right to reject at any time any applicants/participants that are poorly representing the charities values or who are believed to be fraudulent. Coventry Mercia Lions will not be liable in any way to costs associated with the event that may be lost due to the rejection.
c) I understand in the event that Coventry Mercia Lions is forced to cancel the event or change the date for any reason Coventry Mercia Lions will inform each participant as soon as possible.  If the event start time or other details are altered, Coventry Mercia Lions will inform participants and update Coventry Mercia Lions website. As stated above, registration fees are non-refundable in all but exceptional circumstances.
d) All registration fees for a cancelled event that are not refunded will be retained by the Coventry Mercia Lions to cover costs already incurred by the charity in the planning process for the Snowdon Charity Challenge.

My Products*

RegistrationEnter description

£35.00

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