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

Tickets

Below you can enter the quantity of tickets you would like. Please note these “early bird” ticket prices are available until end Jan 2019.

Total

£

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.

Participant information

Please enter the details of each participant

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I accept the Mojo Active Festive Fun Run 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