Please tick to confirm parental consent if you are aged between 14 and 18 on the day of the event.
Do you have any medical conditions we should be aware of? If none, please state.
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I confirm that I/my group wish to enter this event and understand that I/we do so at my/our own risk and that St Peter's Hospice will not accept liability for any injury or loss as a result of my/our participation but I/we understand that my/our statutory rights remain unaffected. I/we agree that I/we should seek medical advice from my/our general practitioner if I am/we are in any doubt as to my/our physical ability to participate in the event. By completing this form you are giving your permission for any photographs taken of you/your group to be used in future publicity. I understand that the entry fee I have paid for this event is non-refundable and non-transferable.