Three Peaks Challenge Registration Form

    Three Peaks Challenge
    Please select the event you would like to undertake

    Available challenge dates
    Please select event date

    Available challenge dates
    Please select event date

    Available challenge dates
    Please select event date

    Participant information

    All fields are compulsory

    First Name (required)

    Surname (required)

    Gender (required)

    You must be 18 years or over to participate, please tick to confirm (required)

    Date of birth (required)
    Please enter in format YYYY-MM-DD

    Email address (required)

    Telephone Number (required)

    Mobile Phone Number (required)

    Address (required)

    Medical & Dietary Information

    Medical conditions (required)
    Please detail any medical requirements we should be aware of. The more we know about any conditions that might be relevant the better we can look after you if needed

    Dietary requirements (required)
    Please detail any specific food requirements or allergies you have

    Emergency contact details

    Emergency contact name (required)

    Emergency contact phone number (required)

    Additional information

    How did you hear about this event? (required)

    Details of any similar challenges you have previously taken part in

    Registration fee

    The 24 Hour Three Peaks Challenge costs £399 in total. A deposit of £200 is required to confirm your Registration. Deposits must be paid within 48 hours of completing this Registration Form to confirm your place. The remaining balance is required 10 weeks prior to your challenge.

    The 3 Day Three Peaks Challenge costs £599 in total. A deposit of £200 is required to confirm your Registration. Deposits must be paid within 48 hours of completing this Registration Form to confirm your place. The remaining balance is required 10 weeks prior to your challenge.

    The Yorkshire Three Peaks Challenge costs £399 in total. A deposit of £200 is required to confirm your Registration. Deposits must be paid within 48 hours of completing this Registration Form to confirm your place. The remaining balance is required 10 weeks prior to your challenge.

    Deposit payment

    Please make a bank payment / bank transfer for £200 to:

    Bank: NatWest
    Account number: 33174164
    Sort code: 60-40-05
    Reference: 3P followed by your name e.g. 3PJohnSmith

    Submission

    By submitting my Registration Form I agree to the Terms and Conditions of the event.