2021 Charity Muddy Madness Booking Form

Saturday 27 November 2021

A charity mud run alongside charity Aid Box Community

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

Aid Box Community

A charity event run alongside Aid Box Community.

A 5K run for adults and children 9 years or over and a 2K run for adults and children 5 years or over. Children under 16 will need to be accompanied by an adult (max 2 children per adult)

£20 per adult £15 per child with a family ticket at £60 (2 adults/2 children or 1 adult/3 children).

Choice of 2 activities on the day from:

  • Archery (ages 8+)
  • Axe throwing (ages 11+)
  • Climbing Wall (ages 5+)
  • Tree Climbing  (ages 5+)
  • Football Golf  (ages 5+)
  • High Ropes (minimum height 1.45m) – children under 16 need 1x adult supervision on the course
  • Scavenger Hunt  (ages 5+) • Clay Faces  (ages 5+)

Complete the form below to enter…

Muddy Madness Booking Form

Please specify the number of tickets required

Charity sponsorship places

Take a charity place and we will discount your ticket by 50%. ABC will provide you with a sponsorship pack and you commit to raising a minimum of £50 per child, £100 per adult or £250 as a family

Please enter your details as the person responsible for this booking

Choose your starting time

Additional Participants

Please enter the details of each participant

2.
3.
4.
5.
6.

Total

%

£

I consent to my me and my teams data being shared with Aid Box Community for the purposes of running this event.

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