10 Peaks Challenge Registration Form

Please complete the form below to register your interest in taking part in a Youth Adventure Challenge. Once we have received your form, we will contact you with more information and to confirm your place in the challenge.

Name*

First Last

Email*

Telephone

Telephone (mobile)

Company

Are you part of a team?*

Yes
No

If you know who is joining you on this epic adventure, click Yes. You’ll then be asked to fill in your team member’s names and email addresses so that we can welcome everyone to the challenge. Teams are made up of 4-6 people and we’re counting you as the Team Leader! If you’re not sure who will be with you in the mountains, click No and we’ll gather your team details later.

Team Member 1: Name

First Last

Team Member 1: Email Address

Team Member 2: Name

First Last

Team Member 2: Email Address

Team Member 3: Name

First Last

Team Member 3: Email Address

Team Member 4: Name

First Last

Team Member 4: Email Address

Team Member 5: Name

First Last

Team Member 5: Email Address

How did you hear about the event?

Privacy Policy

Terms and Conditions

All participants must be aged 18 or over on the date of the event.

I understand that I am signing up to a physical challenge; all participants take part at their own risk and will be required to sign a medical declaration before the challenge.

By registering to take part in a Youth Adventure Challenge, I am committing me and my team to work towards the fundraising target that has been specified for the event. If the event is cancelled or my team withdraws, we understand that we will be required to return all funds raised to the donors.