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.