Please fill in the form below and enter each participants’ details in the section at the bottom.
Team name *
If you have friends/family who have already booked and you would like to run at the same time as them, please ensure you use the same Team name as each other
Runner 1 name *
Runner 1 event *
Please choose...2k (£6.5)5k (£12.50)
Contact email *
Contact telephone *
Emergency contact Number *
Medical information *
We will donate £1 to your nominated local school / children’s club for each ticket paid for on your booking form. Please ensure you include the postcode as many schools/clubs have similar names.
Nominated School/Club Name
Nominated School/Club Postcode
Please enter the details of each participant
Please ensure all participants consent to this agreement and liability waiver.
I accept the Mojo Active Muddy Madness agreement and liaibility waiver and agree I should abide by the code of conduct while in the care of Mojo Active representatives. I understand that a serious infringement of this code may result in me being prevented from continuing with the activities. I agree to take part in the activities at Mojo Active. Adventurous activities are potentially hazardous with a danger of personal injury. By completing this consent form I am aware and accept these risks and I will be responsible for my own actions and involvement I understand that Mojo Active holds public liability insurance cover. Mojo Active has an excellent safety record and cannot accept responsibility for injury or illness arising from any of the activities undertaken unless proven negligent. In the unlikely event of injury, I give permission for medical treatment to be administered where considered necessary by a nominated first aider, or by suitably qualified medical practitioners
I consent to the above