2019 Mojo Muddy Madness Booking Form

Please fill in the form below and enter each participants’ details in the section at the bottom.

Muddy Maddness Booking Form

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

We will donate £1 to your nominated local school for each ticket paid for on your booking form. Please ensure you include the postcode as many local schools have similar names.

Additional Participants

Please enter the details of each participant

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Total

£

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