07 JUN
8.0K
-
Killruddery Estate, Bray, Co Wicklow
Group: Focus Ireland
Brown Wave @11:45
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!As you are under 18, you cannot register online for insurance reasons. Do not worry! Simply contact Head Office ASAP on 01-2147355 or info@aliveoutside.ie and we will email you the Parental Consent forms to enable you to take part.
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Next Of Kin
In the unlikely event of an accident, please provide contact details for your Next of Kin who we can ring in an emergency. Your Next of Kin should not be taking part in HELL & BACK:
Name*
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Mobile*
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Relationship To Participant*
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HELL & BACK is Ireland’s Toughest Mental & Physical Endurance Challenge. Participants need to be of a suitable physical condition to be able to take part. I am aware of the potential risks involved and declare myself (and, if applicable, all members of my team) of a suitable physical condition to participate.
You must tick to continue
I agree in full with AliveOutside's Terms and Conditions
, and am aware that, while I am not entitled to a refund if I cannot attend, for whatever reason, I can transfer my registration to another person by emailing them my ticket.
You must agree to the terms and conditions
I want to receive information from AliveOutside's sponsors and partners
Are you doing H&B for a charity?
No
I am doing H&B for Focus Ireland
I agree to my details being shared with enthuse, our official fundraising platform, for the purpose of automatically creating my fundraising page.
No
Yes