Name *

As it appears on your passport

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Emergency Contact Name *

First Name

Last Name

Medical consent *

I have declared any medical conditions that might be relevant and I will declare any more information should it arise between now and the end of the Yorkshire Three Peaks challenge. This information will be kept confidential at all times and will only be shared with medical and emergency professionals who require this information. I understand that if i have any questions I can contact TFA Events Limited in confidence via info@tfaevents.co.uk. This information will be purged on 01 July 2026.

My insurance cover *

All participants must have insurance cover valid in the UK for this type of activity. Please tick all boxes.

I have insurance to cover me for trekking activities in UK, including medical cover, cancellation and curtailment cover and cover for any loss, damage, theft of my possessions

By checking this box I agree that if I do not have the required insurance cover, I will be liable for any additional costs incurred.

Consent *

Please ensure each box is ticked.

I realise and accept that mountain training, walking and wild camping are activities which carry a danger of personal injury as they take place in hill and mountain terrain. I am aware of and accept these risks and will be responsible for my own actions and involvement in such activities.

While on the trek and in the care of Cotswold Yeti Mountaineering - Dan Rogers ML, I agree to abide by any instructions and decisions made by the instructor regarding individuals and the group as a whole. If I choose to disregard any advice given by Cotswold Yeti Mountaineering - Dan Rogers ML before, during or after the challenge, I do so voluntarily and accept liability for all resulting injuries or damage.

I understand that Cotswold Yeti Mountaineering - Dan Rogers ML accepts no responsibility for accidents or injury to participants or for loss of or damage to personal effects, unless caused by negligence on the part of Cotswold Yeti Mountaineering - Dan Rogers ML and instructors working for Cotswold Yeti Mountaineering - Dan Rogers ML.

I agree the information I submit will only be used by TFA Events Limited and Cotswold Yeti Mountaineering to administer and send me further details with regards to the Yorkshire Three Peaks 2025 Challenge. This information will then be purged on 1st July 2024. By ticking this box I also agree to the terms and conditions, which are available in the link below. If you have any questions, please contact info@tfaevents.co.uk.

During the trek Dan Rogers ML and TFA Events may take photographs, which may subsequently be used for publicity and marketing purposes by Cotswold Yeti Mountaineering and by TFA Events. I agree to my photograph being used for these purposes.

Terms & Conditions (available below) *

I agree to the terms and conditions

I am happy for TFA Events to add me to the challenge WhatsApp group, using the number I entered above on this form. The group is the key way challenge information is shared. *

Yes I am happy to be added

No I would not like to be added