National 3 Peaks

National 3Peaks  Register  Trip Includes  Agenda  Equipment  More Info

 

BOOKING FORM

 

To enter please complete and return this booking form to The Event Aid Team along with your deposit of £99 (refunded once £1,000 in sponsorship raised for your chosen charity!) at: 3 Roosevelt Drive, Headington, Oxford, OX3 7XB.

 

If you have any questions contact: 3peaks@eventaid.org or 07885157903.

 

 

Date of trip you would like to attend...……………………………………………………….

 

 

Full Name……………………………………………………………………………………………………….

 

 

Address……………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

Postcode…….……………………………….......................................................

 

 

Email………………..................................……………………………………………………..

 

 

Home Telephone………………………………………………......................................

 

 

Mobile………………………………………………....................................................

 

 

Next of Kin Name……………………………………………………………………………………………

 

 

Next of Kin Phone No...…………………………………………………………………………………

 

TREKING EXPERIENCE – details of any hiking, etc you’ve done before:

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

 

FITNESS – Please describe your level of fitness and plans to train for the 3 Peaks:

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

MEDICAL CONDITIONS/DIETARY - please disclose any relevant Medical Conditions (e.g. diabetes, asthma, epilepsy, allergic reactions, heart problems, etc):

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

MEDICATION – please give details and where you keep it in case of emergency.

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

PHYSICAL PROBLEMS – e.g. operations, knee and back problems or other

issues that could interfere with this activities:

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

…………………………………………………………………………………………………………………………

 

 

 

DIET – Vegetarian, etc.

 

 

…………………………………………………………………………………………………………………………

 

 

PERSONAL INSURANCE - You are recommended to take out your own

Personal Travel Insurance. Please provide your policy number/reference:

 

 

…………………………………………………………………………………………………………………………

 

I have read, acknowledge and accept the booking terms and conditions as set out in this document:

 

 

Signed…..........................………………………………………………………………………….

 

 

Date………………………………………..............................................................

 

 

Charity – please indicate charity you would like to fundraise for:

 

 

SpecialEffect - dedicated to helping ALL young people with disabilities to enjoy computers. http://www.specialeffect.org.uk/

 

 

Sobel House - Providing care for people with life-limiting illnesses, and support for their families. http://www.sobellhospice.org/

 

 

Help an Oxfordshire Child - Fox FM’s very own charity is all about supporting local disadvantaged children. http://www.foxfm.co.uk/charity

 

 

Helen & Douglas House - providing respite and end of life care for children and young adults with life-shortening conditions, as well as support and friendship for the whole family. http://www.helenanddouglas.org.uk/

 

 

…………………………………………………………………………………………………………………………

 

 

The most effective way to collect sponsorship is to set up a JustGiving page and e-mail it to everyone you know. Here's Nick Streeter’s for his SpecialEffect Great North Run: http://www.justgiving.com/fatboychallenge

 

 

National 3Peaks  Register  Trip Includes  Agenda  Equipment  More Info

 

 

 

Booking Terms and Conditions

Please read prior to signing the Booking Form:

The event is operated by Event Aid Ltd, who’s head office is at 3 Roosevelt Drive, Headington, Oxford, OX3 7XB.

To secure your place you must complete and sign the Booking Form, with answers to all questions and send to Event Aid, along with your deposit of £99 (cheques to “Event Aid”). This deposit is non refundable until the full £1,000 (excluding Gift Aid) sponsorship in aid of your chosen charity has been collected and paid to the charity.

If you are not able to travel on the trip due to genuine factors beyond your control, then you may transfer your booking to another person subject to certain administrative charges. A fee of £65 will be charged to make the change. You may be asked to provide proof of the reason you are unable to travel (i.e. medical certificate). 

If Event Aid are forced to significantly alter, reschedule, or cancel a trip due to factors reasonably foreseeable to ourselves, then you may take an alternative 3 Peaks Challenge with Event Aid on a different date or request a refund.

If a trip is cancelled due to factors outside of Event Aid’s control, no compensation will be given.

For full details on any of Event Aid’s itineraries, please consult your trip dossier on your chosen trip. All standard statutory required information is included therein.

Advice is given on matters such as equipment selection, medical and fitness requirements — but it remains the responsibility of the individual to make such necessary arrangements as advised.

By signing this Form, you agree to meet our minimum Kit and equipment requirement for safe participation in the event and to disclosure all medical/health matters that could potentially affect your participation in the event in an adverse way.

Mountain walking is an inherently hazardous activity. Whilst on your trip, you undertake to follow the instructions given to you by your leader. Their decisions are at all times final. If you do not follow the leader’s instruction and your leader considers your behaviour is dangerous or irresponsible to yourself or the rest of the group, then you may be requested to leave the trip, with no compensation to yourself or cost penalty to Event Aid or the charities involved.

Inherent in this event is the possibility that your clothing or equipment may suffer some damage. Both Injuries and property damage are an unavoidable component of this type of trip. In signing the Booking Form you are acknowledging your understanding in this matter. 

Alterations in the itinerary are also a more frequent occurrence than on a regular holiday – in terms of rapidly changing weather patterns and environmental conditions or participant fitness. Hence minor alterations to the itinerary are common.

At all times, your leader will attempt to perform the trip as faithfully as possible. At all times, safe performance of the trip is considered before completing the itinerary at any cost.

The leader’s decision is always final in this context. 

You must be covered by Travel Insurance before joining the trip. This is your responsibility to organise appropriate cover. Make sure that you are covered for activities included. Also make sure you are covered if you have to cancel the trip. 

Event Aid’s responsibility for you on the trip begins at the designated meeting point.

Event Aid takes no responsibility for getting you to the designated meeting point.

Address any complaints firstly directly to Event Aid. Explain the cause of your complaint, and attempt to rectify it in situ. If this is not possible, and you feel it may detract from your trip, then please contact Event Aid head office directly, to see if anything can be done to remedy the situation.

On return from trip, in the case of a complaint, please write to Event Aid, including a full description of events. All complaints should be received at the very latest within 14 days of the event.

The charities involved, Event Aid or representatives may request to see your insurance documents at any time.

The charities involved and Event Aid will endeavour to ensure that the event is completed as planned, but cannot be held responsible for factors outside of their control (poor traffic, low fitness levels of group, adverse weather conditions etc).

By signing the Booking Form you agree to the above set out terms and conditions.

 

National 3Peaks  Register  Trip Includes  Agenda  Equipment  More Info

Made with Namu6